Active NPI
Julie Rudolph, PT
- Physical Therapist
- Zionsville, IN
National Provider Identifier
1447546650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014892A
- Practice address
- 4220 Strathmore LN
Zionsville, IN 46077-7780 - Phone
- (317) 210-0685
- NPI assigned
- Jun 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021294 | PA | |
| Physical Therapist | 225100000X | 05014892A | IN | Primary |
Addresses
Primary practice location
4220 Strathmore LN
Zionsville, IN 46077-7780
Mailing address
4220 Strathmore LN
Zionsville, IN 46077-7780
Phone (317) 210-0685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01033239 | Other | PA | MEDICARE RAILROAD |
Other names 1
- Julie M Wagner
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1447546650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 STRATHMORE LN",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460777780",
"telephone_number": "317-210-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 STRATHMORE LN",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460777780",
"telephone_number": "317-210-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "JULIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021294",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05014892A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01033239",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "WAGNER",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.