Individual provider Active NPI

Craig Rudikoff

  • Orthopedic Physical Therapist
  • Aurora, CO
National Provider Identifier
1871920843
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0014680 Issued in CO
Practice address
14400 E Jewell Ave
Aurora, CO 80012-5689
Phone
(303) 283-5325
NPI assigned
Oct 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0014680 CO Primary
Orthopedic Physical Therapist 2251X0800X 24553 MD

Addresses

Primary practice location

14400 E Jewell Ave
Aurora, CO 80012-5689

Mailing address

14400 E Jewell Ave
Aurora, CO 80012-5689
Phone (303) 283-5325

Other practice location 1

10753 Falls Rd
Pavilion II, #235
Lutherville, MD 21093-4535
Phone (410) 583-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014680COMDOrthopedic Physical Therapist
24553MDMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1871920843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 E JEWELL AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125689",
            "telephone_number": "303-283-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 E JEWELL AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125689",
            "telephone_number": "303-283-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10753 Falls Rd",
            "address_2": "Pavilion II, #235",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210934535",
            "country_code": "US",
            "telephone_number": "410-583-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDIKOFF",
        "first_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0014680",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "24553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.