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

MS. Stacey Lynn Roderick, PTA

Individual provider Physical Therapy Assistant · NPI 1831316082

MS. Stacey Lynn Roderick, PTA is a Physical Therapy Assistant in Dorchester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

854 Dorchester Ave UNIT#1
Dorchester, MA 02125-1133
Phone: (617) 265-3735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3716 (MA)

Record details

NPI number1831316082
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

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