Individual provider Active NPI

Zachary Rudisill

  • Physical Therapist
  • Bellevue, WA
National Provider Identifier
1114791092
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41063 Issued in FL
Practice address
15600 NE 8TH St Ste E6
Bellevue, WA 98008-4087
Phone
(425) 214-7679
NPI assigned
Nov 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216170 VA
Physical Therapist 225100000X PT41063 FL Primary
Physical Therapist 225100000X PTL.0019776 CO
Physical Therapist 225100000X LPT-034056 AZ

Addresses

Primary practice location

15600 NE 8TH St Ste E6
Bellevue, WA 98008-4087

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

11960 Lioness Way Ste 260
Parker, CO 80134-5640
Phone (303) 344-9090

Other practice location 2

9051 Tamiami Trl N Ste 104
Naples, FL 34108-2520
Phone (239) 591-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231120002771 FL Practitioner - Physical Therapist in Private Practice 8022466614 Reassigns benefits to 1 organization
I20251106003253 WA Practitioner - Physical Therapist in Private Practice 8022466614 Reassigns benefits to 1 organization
I20260501001049 CO Practitioner - Physical Therapist in Private Practice 8022466614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

11960 Lioness Way
Suite 260
Parker, CO 80134-5640
Phone (303) 344-9090

15600 NE 8 St
E6
Bellevue, WA 98008-3927
Phone (425) 214-7679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034056AZMDPhysical Therapist
PTL.0019776COMDPhysical Therapist
PT41063FLMDPhysical Therapist
2305216170VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Pelican Sports & Rehabilitation of Naples Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Pelican Sports and Rehabilitation, Inc Physical Therapist PastSince Nov 1, 2023 Accepting new patients

Locations

9051 Tamiami Trl N
Ste 104
Naples, FL 34108
Phone (239) 591-4711

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

15600 NE 8th St
Ste E6
Bellevue, WA 98008
Phone (425) 214-7679

1750 112th Ave NE
Ste E175
Bellevue, WA 98004
Phone (425) 289-0381

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1114791092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST STE E6",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084087",
            "telephone_number": "425-214-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Lioness Way Ste 260",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9051 Tamiami Trl N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341082520",
            "country_code": "US",
            "telephone_number": "239-591-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216170",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41063",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.

Verify at the official NPI Registry.