Provider Demographics
NPI:1821414327
Name:RODKEY, PATRICK MICHAEL (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:RODKEY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 HORSESHOE WAY
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-4029
Mailing Address - Country:US
Mailing Address - Phone:440-258-3014
Mailing Address - Fax:
Practice Address - Street 1:21225 LORAIN RD
Practice Address - Street 2:CLEVELAND CLINIC REHAB AND SPORTS THERAPY
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2120
Practice Address - Country:US
Practice Address - Phone:440-331-3180
Practice Address - Fax:440-331-3183
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-09
Last Update Date:2014-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH088972251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic