Individual provider Active NPI

Teresa Michelle Rudd, MSN, RN, AGACNP

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1154863082
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
AP132548 Issued in TX
Practice address
1502 Howard St
San Antonio, TX 78212-3444
Phone
(210) 737-5100
NPI assigned
Nov 9, 2016
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X AP132548 TX
Nurse Practitioner 363L00000X AP132548 TX
Acute Care Nurse Practitioner 363LA2100X AP132548 TX
Physical Medicine & Rehabilitation Physician 208100000X AP132548 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP132548 TX

Addresses

Primary practice location

1502 Howard St
San Antonio, TX 78212-3444

Mailing address

1502 Howard St
San Antonio, TX 78212-3444
Phone (210) 737-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110002910 TX Practitioner - Nurse Practitioner 8123309911 Reassigns benefits to 1 organization
Practice locations: Lakehills, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tlrfio2Group PAC ID 9335670546, 2 clinicians

Practice addresses (Care Compare)

141 Country Meadow LN
Lakehills, TX 78063-6515
Phone (210) 269-1849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tlrfio2 Gerontology CurrentSince Sep 6, 2024 Accepting new patients
Reliant Provider Services, LLC Nurse Practitioner Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1154863082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 HOWARD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123444",
            "telephone_number": "210-737-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 HOWARD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123444",
            "telephone_number": "210-737-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "AP132548",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132548",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132548",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "AP132548",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP132548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.