Active NPI
Beth Marie Rudolph, PT, DPT
- Physical Therapist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31752
- Practice address
- 14050 N Northsight Blvd
Scottsdale, AZ 85260-3601 - Phone
- (602) 368-8601
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-31752 | AZ | Primary |
Addresses
Primary practice location
14050 N Northsight Blvd
Scottsdale, AZ 85260-3601
Mailing address
16623 N 19TH St
Phoenix, AZ 85022-6263
Phone (602) 574-5968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14557 W Indian School Rd
Suite 500
Goodyear, AZ 85395-9218
Phone (623) 242-6908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31752 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Current | Accepting new patients |
Locations
23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260
9980 W Glendale Ave
Ste 110
Glendale, AZ 85307
Phone (623) 226-8804
14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808
2302 N 15th Ave
Phoenix, AZ 85007
Phone (602) 265-4124
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1083288773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16623 N 19TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850226263",
"telephone_number": "602-574-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 N NORTHSIGHT BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603601",
"telephone_number": "602-368-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "BETH",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.