Shannon Roderique, LPTA
NPI 1992405302 · Physical Therapy Assistant · O Fallon, MO
Shannon Roderique, LPTA is a Physical Therapy Assistant provider in O Fallon, MO (NPI 1992405302).
Provider details
- NPI number
- 1992405302
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-06
- Certified
- 2023-03-04
Frequently asked questions
- What is Shannon Roderique's NPI number?
- Shannon Roderique's National Provider Identifier (NPI) is 1992405302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Roderique's specialty?
- Shannon Roderique is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shannon Roderique located?
- Shannon Roderique's practice location on file with NPPES is 7068 S Outer 364, O Fallon, MO 63368-7757.
- What is Shannon Roderique's phone number?
- The practice phone number listed in the NPPES registry for Shannon Roderique is (636) 240-6100.
- Is Shannon Roderique's NPI active?
- Yes — Shannon Roderique's NPI (1992405302) is active in the NPPES registry as of the last update on 2023-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.