Anne Rudolph, COA LL

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 10387 Issued in FL

Practice address

333 First Street
Suite 200
Jacksonville Beach, FL 32250

Phone

(888) 909-5038

Fax

(888) 794-5038

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Anne Ennis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1396936290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 1ST ST N STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506939",
            "telephone_number": "888-909-5038",
            "fax_number": "888-794-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FIRST STREET",
            "address_2": "SUITE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "888-909-5038",
            "fax_number": "888-794-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "COA LL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP000884L",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 10387",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2026-0044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "ENNIS",
            "prefix": "MISS",
            "credential": "COA LL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Brooke Rosenblum, APRN
• Ross H Fishman, DMD, Ms, PA
• Jenifer M Ross, RD
• Roy F. and Tracey B. David, DMD PA
• Julie Stephenson Royal, OTR
• Kayli Rushing
• Kara Lynn Russell, ARNP
• Amy Rutledge, PHARMD
• Kenneth C Ryan, APRN
• Michael Ryan, PT, ATC

• Occupational Therapy Assistant in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.