Aliza Chana Rudavsky, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT004241 Issued in PA

Practice address

267 Rec Hall
Penn State University
University Park, PA 16802

Phone

(412) 721-2121

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Movement Systems Physical Therapy, P.S.

  • Physical Therapist
  • Seattle, WA
  • NPI 1659324051
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1316293335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 REC HALL",
            "address_2": "PENN STATE UNIVERSITY",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "412-721-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 REC HALL",
            "address_2": "PENN STATE UNIVERSITY",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "412-721-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDAVSKY",
        "first_name": "ALIZA",
        "middle_name": "CHANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09221R",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT004241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Roland
• Bryan Ronan, PA-C
• Monica Rosensteel, LPN
• Lia Kathleen Rosenstein, PHD
• Sierra Rougeux
• Christine Sailors, LPN
• Hannah Lauren Saine
• Jonathan Salazer, ATC
• Madeleine Scaramuzzo, MS, ATC, LAT, PES
• Ashley Lyn Schrag, LPC

• Physical Therapist in University Park, PA
• Providers in University Park, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.