Jessica Rudebock, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

87531 Issued in OH

Practice address

1797 Poppleton Dr
West Bloomfield, MI 48324-1148

Phone

(734) 352-3543

NPI assigned

Aug 24, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1538075965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3588 PLYMOUTH RD # 393",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052603",
            "telephone_number": "734-352-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 POPPLETON DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241148",
            "telephone_number": "734-352-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEBOCK",
        "first_name": "JESSICA",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "OH",
            "license": "87531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Lynn-Eisenberg Rubin, D.O.
• Harvey P Rubin, R.PH.
• Rebecca Lash Rubin, DMD
• Sander Rubin, M.D.
• Cheryl A Ruble, M.D.
• Carrie Rudman, O.T.
• Theodore J Ruza, DO PC
• Kelsey Ryan, NP
• Noelle Ryan, PHARMD, BS PHARM
• John Joseph Saab, D.C.

• Recreation Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.