Active NPI
Susan Lough Rudolf, P.T.
- Physical Therapist
- Gilford, NH
National Provider Identifier
1336290238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0518
- Practice address
- 401 Gilford Ave
Unit 240
Gilford, NH 03249-7500 - Phone
- (603) 528-4152
- Fax
- (603) 528-1591
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 | 0518 | NH | Primary |
Addresses
Primary practice location
401 Gilford Ave
Unit 240
Gilford, NH 03249-7500
Mailing address
44 Rocky Point Dr
Bow, NH 03304-4112
Phone (603) 715-2062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0518 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilford Physical Therapy & Spine Center, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Gilford, NH
- NPI 1295801074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336290238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 ROCKY POINT DR",
"city": "BOW",
"state": "NH",
"postal_code": "033044112",
"telephone_number": "603-715-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GILFORD AVE",
"address_2": "UNIT 240",
"city": "GILFORD",
"state": "NH",
"postal_code": "032497500",
"telephone_number": "603-528-4152",
"fax_number": "603-528-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLF",
"first_name": "SUSAN",
"middle_name": "LOUGH",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "0518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.