Geoffrey Rudy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11861 Issued in FL

Practice address

3305 Rice St
Coconut Grove, FL 33133-5216

Phone

(415) 420-9504

NPI assigned

Aug 15, 2016

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lauderdale Sports Performance Institute, PLLC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1326897307
  NPD Authorized official
• Integrative Sports Medicine and Chiropractic LLC

  • Chiropractor
  • Coconut Grove, FL
  • NPI 1679921415
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1730633165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 22ND CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113741",
            "telephone_number": "415-420-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 RICE ST",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335216",
            "telephone_number": "415-420-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "GEOFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel D Rodriguez
• Gloria E Rojas
• Jose Rosa, OTR/L
• Kristen Marie Rothenberg, PA-C
• Christine M Rowlee, MS CCC-SLP
• Beatriz Salazar, OTR/L
• Jonathan Sanchez, CBHCM, BA
• Sucel Sanchez, RBT
• Michael Sanfilipo, M.D.
• Fiorella Scaglia, M.S., BCBA

• Chiropractor in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.