Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Jane Roderick, OT

Individual provider Occupational Therapist · NPI 1417612169

Marissa Jane Roderick, OT is an Occupational Therapist in Kalispell, Montana. Works from 3 locations. Licensed in Colorado and Montana.

Licensed in
CO, MT
In the registry since
2021
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

55 Heritage Way
Kalispell, MT 59901-3100
Phone: (406) 471-9910
Fax: (406) 309-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5055 S Lemay Ave, Fort Collins, CO 80525-9401 — (970) 223-3552
  • 500 12th Ave W Ste 2a, Columbia Falls, MT 59912-3855 — (406) 471-1117

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 9466 (MT)
Occupational Therapist Taxonomy 225X00000X · Licence 0007132 (CO)

Record details

NPI number1417612169
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedNovember 7, 2021
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

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