Destiny Dominique Rudder

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04938401 Issued in NY

Practice address

119 W 57TH St Ste 600
New York, NY 10019-2305

Phone

(212) 974-7252

Fax

(212) 974-7252

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Destiny Dominique Atkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as apm

Quality

79.86

Promoting interoperability

88.89

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cynergy Physical Therapy Midtown East PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1477171783
  NPD
• Cynergy Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1871781237
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1023738507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252",
            "fax_number": "212-974-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192305",
            "telephone_number": "212-974-7252",
            "fax_number": "212-974-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "DESTINY",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04938401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "ATKINS",
            "middle_name": "DOMINIQUE",
            "credential": "PT/DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Beth Rudawski, PA-C
• Valerie Rudaya, PHARMD
• Mykola Rudchyk
• Jennifer Rudd, FNP
• Adrienne Marie Rudden, AGACNP
• Sonia Ruddock
• Helen Ruddy, NP
• Jake Ruddy, MD
• Margaret Ruddy
• Rebecca Katherine Rudel, RD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.