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

Regina M Roderick, PT

Individual provider Physical Therapist · NPI 1164642872

Regina M Roderick, PT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2001, 25 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7447 W Talcott Ave Ste 500
Chicago, IL 60631-3716
Phone: (773) 631-7898
Fax: (773) 361-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070012854 (IL)

Record details

NPI number1164642872
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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