Individual provider Active NPI

Rebecca Smith Rudolph, MSOTR/L

  • Occupational Therapist
  • Allison Park, PA
National Provider Identifier
1902045982
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC012291 Issued in PA
Practice address
2853 Oxford Blvd.
Suite 103
Allison Park, PA 15101-2443
Phone
(412) 299-0704
Fax
(412) 299-0716
NPI assigned
Feb 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.008283 IL
Occupational Therapist 225X00000X OC012291 PA Primary

Addresses

Primary practice location

2853 Oxford Blvd.
Suite 103
Allison Park, PA 15101-2443

Mailing address

401 Locust St
Suite 2a
Coraopolis, PA 15108-3954
Phone (412) 299-0704

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
056.008283ILMDOccupational Therapist
OC012291PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Occupational Therapists, Inc. Occupational Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1902045982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOCUST ST",
            "address_2": "SUITE 2A",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083954",
            "telephone_number": "412-299-0704",
            "fax_number": "412-299-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 OXFORD BLVD.",
            "address_2": "SUITE 103",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012443",
            "telephone_number": "412-299-0704",
            "fax_number": "412-299-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "REBECCA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.008283",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC012291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.