Individual provider Active NPI

Trent Rudebeck, PT, DPT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1780380048
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17031-24 Issued in WI
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

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230329000219 NC Practitioner - Physical Therapist in Private Practice 8729452016 Reassigns benefits to 1 organization
I20241118001455 IN Practitioner - Physical Therapist in Private Practice 8729452016 Reassigns benefits to 1 organization
I20250225003897 MD Practitioner - Physical Therapist in Private Practice 8729452016 Reassigns benefits to 1 organization
I20250225003944 DC Practitioner - Physical Therapist in Private Practice 8729452016 Reassigns benefits to 1 organization
I20260210002086 AZ Practitioner - Physical Therapist in Private Practice 8729452016 Reassigns benefits to 1 organization

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
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

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 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051486TAZMDPhysical Therapist
CP048181TTXMDPhysical Therapist
17031-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Feb 3, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 29, 2025 Accepting new patients
Strength Training Inc Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Feb 3, 2023 Accepting new patients
Strength Training Inc PastSince Dec 15, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.