MRS. JESSICA LYNN RUDOLPH PT
NPI 1679669220
Physical Therapist in Gilbert, AZ
NPI Status: Active since October 04, 2006
Contact Information
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ
ZIP 85234
Phone: (480) 813-7900
- Individual
- Female
- Years of Experience 26
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About JESSICA RUDOLPH
This page provides the complete NPI Profile along with additional information for Jessica Rudolph, a provider established in Gilbert, Arizona with a medical specialization in Physical Therapist and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1679669220 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X with license number LPT-005345 (AZ). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1679669220
- Provider Name
- MRS. JESSICA LYNN RUDOLPH PT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234
- Location Phone
- (480) 813-7900
- Mailing Address
- 419 E JULIAN DR GILBERT, AZ 85295
- Mailing Phone
- (480) 917-7951
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2006
- Last Update Date
- 01-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- LPT-005345
- License State
- AZ
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 5345 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue ACA StandardHealth Silver with Health Choice - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jessica Rudolph is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2668573692
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070720000606
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 6 | 6 | 9 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 12 | 6 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 2 + 6 + 1 + 8 + 2 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1679669220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295926350 | DYNAMIC REHAB HAND THERAPY, INC Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
| 1417466434 | BHSM REHABILITATION, LLC Organization | Prosthetic/Orthotic Supplier | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
| 1437552999 | SAMANTHA ZAYKOSKI OTR/L Individual | Occupational Therapist | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 543-2000 |
| 1619495355 | TAYLOR KARSTENS PT, DPT Individual | Physical Therapist | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
| 1972734143 | MATTHEW VAIA PT Individual | Physical Therapist | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
| 1952140238 | DR. AMANDA KLEIN PT, DPT Individual | Physical Medicine & Rehabilitation | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
| 1497574768 | DR. ZOE FESTA-WOODS PT, DPT Individual | Physical Therapist | 2940 E BANNER GATEWAY DR STE 425 GILBERT, AZ 85234 (480) 813-7900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679669220, enumerated in the NPI registry as an "individual" on October 04, 2006
The provider is located at 2940 E Banner Gateway Dr Ste 425 Gilbert, Az 85234 and the phone number is (480) 813-7900
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 26 years of experience.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.