Individual provider Active NPI

Donna Marie Lapella Rudolph, OTR/L

  • Occupational Therapist
  • North Wales, PA
National Provider Identifier
1619002185
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005133L Issued in PA
Practice address
1425 Horsham Rd
North Wales, PA 19454
Phone
(610) 247-9148
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC005133L PA Primary

Addresses

Primary practice location

1425 Horsham Rd
North Wales, PA 19454

Mailing address

749 Springdale Dr
Exton, PA 19341-2829

Other identifiers 1

IdentifierTypeStateIssuer
1008470590001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000412 PA Practitioner - Occupational Therapist in Private Practice 7810398310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Namaste Rehab, LLCGroup PAC ID 2365813441, 5 clinicians

Practice addresses (Care Compare)

102 Woodland Dr
Lansdale, PA 19446-1418
Phone (267) 991-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC005133LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Rehab Clinics LLC CurrentSince Jun 29, 2025 Accepting new patients
Namaste Rehab LLC CurrentSince Jan 1, 2023 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Occupational Therapist CurrentSince May 15, 2021 Accepting new patients

Locations

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 3

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1619002185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HORSHAM RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19454",
            "telephone_number": "610-247-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "DONNA",
        "middle_name": "MARIE LAPELLA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005133L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008470590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.