Meghan Alexandria Rud, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015302 Issued in GA

Practice address

4800 Olde Towne Pkwy Ste 130
Marietta, GA 30068-4378

Phone

(770) 485-3045

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mercer University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Form Physical Therapy LLCGroup PAC ID 0446595573, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Form Physical Therapy LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1457840290
  Medicare reassignment Care Compare group NPD
• Sovereign Rehabilitation of Georgia, LLC

  dba Centers for Orthopedic Rehab

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1326210840
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1871161778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 VICKERY FALLS DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754403",
            "telephone_number": "770-709-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684378",
            "telephone_number": "770-485-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUD",
        "first_name": "MEGHAN",
        "middle_name": "ALEXANDRIA",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubin Family Chiropractic,P.C.
• Drew Rubin, D.C.
• Lisa Rubin, PH.D, LPC
• Mitzi B. Rubin, M.D.
• Katherine Rucker
• Sherry Lynn Rudd, DDS
• Renee M. Rudolph, LMT
• April Ruffin, MD
• Daniel Ruitenbeek, DC
• Jessica Ruiz, LPC

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.