Michelle Rudolph, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

05007357A Issued in IN

Practice address

2207 Concord Ave NW Ste 100
Corydon, IN 47112-3097

Phone

(812) 738-3616

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1578725354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BEECHMONT DR NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471121717",
            "telephone_number": "812-738-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 CONCORD AVE NW STE 100",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123097",
            "telephone_number": "812-738-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Beechmont Dr NE",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471121717",
            "country_code": "US",
            "telephone_number": "812-738-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05007357A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrudolph84496@bhkydirect.com",
            "affiliation": "N",
            "address_1": "313 Federal Dr NW Ste 110",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471123080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rockcastle Emergency Group, LLC
• Rocky Mountain Holdings, LLC
• William Kirk Roggenkamp, LCSW
• Natalie Rosbottom, PHARMD
• Mary Ross, CCC SLP
• Marvin Rush, M.D.
• Nancy Russel, RN
• Christopher Carl Saccone, D.P.M.
• Sara Salings, MSOTR
• Sanctuary Emergency Physicians, LLC

• Geriatric Physical Therapist in Corydon, IN
• Providers in Corydon, IN by specialty
• Geriatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.