Tressa Rudolph, PT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016599 Issued in CO

Practice address

7362 McLaughlin Rd
Falcon, CO 80831-4713

Phone

(719) 358-3866

Fax

(719) 559-1800

NPI assigned

Oct 27, 2006

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment Care Compare group NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1699939850
  Medicare reassignment NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Total Function Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1568532711
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment
• Action Potential RLLP

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1265274948

  Physical Therapist

  NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1619914314
  NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Rampart Clinic Neurology & Neuro-Ophthamology

  • Neurology Physician
  • Denver, CO
  • NPI 1104574409
  NPD
• Panorama Orthopedics & Spine Center, PC

  dba Rocky Mountain Spine and Sport

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1003574054
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Select Physical Therapy of Colorado Springs LP

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1366411985
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1124103908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314713",
            "telephone_number": "719-358-3866",
            "fax_number": "719-559-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314713",
            "telephone_number": "719-358-3866",
            "fax_number": "719-559-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "TRESSA",
        "credential": "PT, MTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT003129",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000277097",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108341",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "382617193-44",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie View Family Care, LLC
• Thomas Putney, RPH
• Quality Rehab Solutions
• Nikki Hansen Read, DPT
• Rock Solid Chiropractic PLLC
• Caroline Ruhlig, PHARMD.
• Safeway Inc (Safeway Pharmacy #1644)
• Laura Katherine Sawatzke, DPT
• Select Physical Therapy of Colorado Springs LP (Select Physical Therapy)
• Gregory Roberts Smith, D.D.S.

• Physical Therapist in Falcon, CO
• Providers in Falcon, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.