Active NPI
Trent Rudebeck, PT, DPT
- Physical Therapist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17031-24
- Practice address
- 3507 S Mercy Rd Ste 105
Gilbert, AZ 85297-0441 - Phone
- (480) 926-0404
- NPI assigned
- Feb 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP051486T | AZ | |
| Physical Therapist | 225100000X | CP039802T | MD | |
| Physical Therapist | 225100000X | 05015779A | IN | |
| Physical Therapist | 225100000X | 17031-24 | WI | Primary |
| Physical Therapist | 225100000X | P21929 | NC | |
| Physical Therapist | 225100000X | CP048181T | TX |
Addresses
Primary practice location
3507 S Mercy Rd Ste 105
Gilbert, AZ 85297-0441
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Other practice location 1
2457 Gum Branch Rd Ste 600700
Jacksonville, NC 28540-4008
Phone (910) 938-7555
Other practice location 2
1129 E Marion St
Shelby, NC 28150-4843
Phone (704) 471-0001
Other practice location 3
2219 Bel Pre Rd
Aspen Hill, MD 20906-2204
Phone (443) 566-4255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IN, MD, DC, AZ
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2219 Bel Pre Rd
Silver Spring, MD 20906-2204
Phone (443) 566-4255
9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP051486T | AZ | MD | Physical Therapist |
| CP048181T | TX | MD | Physical Therapist |
| 17031-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Strength Training Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients |
Locations
17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836
11361 S Foothills Blvd
Ste 3
Yuma, AZ 85367
Phone (928) 342-7234
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
3939 Franklin St
Ste 1
Michigan City, IN 46360
Phone (219) 214-4060
1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
2219 Bel Pre Rd
Silver Spring, MD 20906
Phone (443) 566-4255
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
1129 E Marion St
Shelby, NC 28150
Phone (704) 471-0001
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Interoperability endpoints
- trent.rudebeck.p9@direct.athleticoltd.nextgenshare.com
Organizations & group practices 8
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.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518925569
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1780380048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3507 S MERCY RD STE 105",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970441",
"telephone_number": "480-926-0404"
}
],
"practiceLocations": [
{
"address_1": "2457 Gum Branch Rd Ste 600700",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285404008",
"country_code": "US",
"telephone_number": "910-938-7555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1129 E Marion St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281504843",
"country_code": "US",
"telephone_number": "704-471-0001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2219 Bel Pre Rd",
"address_purpose": "LOCATION",
"city": "Aspen Hill",
"state": "MD",
"postal_code": "209062204",
"country_code": "US",
"telephone_number": "443-566-4255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDEBECK",
"first_name": "TRENT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-07",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP051486T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "CP039802T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015779A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17031-24",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21929",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP048181T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.