Active NPI
Lauren C Rudd, P.T.
- Physical Therapist
- Paducah, KY
National Provider Identifier
1881921427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005477
- Practice address
- 3530 Lone Oak Rd
Suite C
Paducah, KY 42003-5752 - Phone
- (270) 554-2883
- Fax
- (270) 554-2885
- NPI assigned
- Nov 3, 2009
- Last updated
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005477 | KY | Primary |
Addresses
Primary practice location
3530 Lone Oak Rd
Suite C
Paducah, KY 42003-5752
Mailing address
3530 Lone Oak Rd
Suite C
Paducah, KY 42003-5752
Phone (270) 554-2883
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005477 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biokinetics, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Calvert City, KY
- NPI 1528184470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1881921427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 LONE OAK RD",
"address_2": "SUITE C",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420035752",
"telephone_number": "270-554-2883",
"fax_number": "270-554-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 LONE OAK RD",
"address_2": "SUITE C",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420035752",
"telephone_number": "270-554-2883",
"fax_number": "270-554-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "LAUREN",
"middle_name": "C",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.