Kelli Rudolph, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11576 Issued in FL

Practice address

1810 W Cervantes St
Pensacola, FL 32501-0001

Phone

(406) 253-9498

Fax

(850) 782-0058

NPI assigned

Nov 11, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Accessible Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1649900408
  NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1851115539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N PACE BLVD STE 201",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325057915",
            "telephone_number": "406-253-9498",
            "fax_number": "850-782-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325010001",
            "telephone_number": "406-253-9498",
            "fax_number": "850-782-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "KELLI",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaron Rubin
• Maxine J Rudison, RN
• Cionna Rudolph
• Felicia Rudolph
• Keiona Rudolph, MSW, LCSW
• James Louis Rueff III, MPAS, PA-C
• Andrew Ruff
• Keith Ruffner
• Rachael Lilly Ruggles, DO
• Rule One LLC

• Occupational Therapy Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.