Active NPI
Andrew Rudawsky, MS, PT, ATC
- Physical Therapist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10000682
- Practice address
- 101 Garden of Eden Rd
Wilmington, DE 19803-1511 - Phone
- (302) 477-1536
- Fax
- (302) 477-1564
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- 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 | J10000682 | DE | Primary |
Addresses
Primary practice location
101 Garden of Eden Rd
Wilmington, DE 19803-1511
Mailing address
23924 Sunny Cove CT
Lewes, DE 19958-5695
Phone (302) 381-8348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Righter Pkwy
Suite 150
Wilmington, DE 19803-1510
Phone (302) 477-1536
100 Fitness Way
Hockessin, DE 19707-2423
Phone (302) 234-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite PT LLC | Physical Therapist | Current | Accepting new patients |
| Elite PT LLC | Physical Therapist | Current | Accepting new patients |
| Elite PT LLC | Current | Accepting new patients | |
| Christiana Care Health Initiatives | Past | Accepting new patients | |
| Elite PT, LLC | Physical Therapist | Past | Accepting new patients |
| Christiana Care Health Initiatives, Inc | Physical Therapist | Past | Accepting new patients |
Locations
100 Fitness Way
Hockessin, DE 19707
Phone (302) 234-1030
1 Grenoble Pl
Rehoboth Beach, DE 19971
Phone (302) 226-2691
1 Righter Pkwy
Ste 150
Wilmington, DE 19803
Phone (302) 317-2747
101 Garden of Eden Rd
Wilmington, DE 19803
Phone (302) 477-1536
Organizations & group practices 6
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 Therapist
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- NPI 1811482599
-
- Physical Therapist
- Rehoboth Beach, DE
- NPI 1871647107
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1417993189
-
- Physical Therapist
- Newark, DE
- NPI 1609807577
-
- Physical Therapist
- Lutherville, MD
- NPI 1508918483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1083645691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23924 SUNNY COVE CT",
"city": "LEWES",
"state": "DE",
"postal_code": "199585695",
"telephone_number": "302-381-8348",
"fax_number": "302-947-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GARDEN OF EDEN RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198031511",
"telephone_number": "302-477-1536",
"fax_number": "302-477-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDAWSKY",
"first_name": "ANDREW",
"credential": "MS, PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10000682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.