David Rudnick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003603 Issued in WA

Practice address

12525 East Mission
Suite 104
Spokane Valley, WA 99216-1079

Phone

(509) 928-1500

Fax

(509) 928-8006

NPI assigned

Oct 5, 2006

Last updated

Aug 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Independent Physical Therapy Associates

  dba Performance Physical Therapy

  • Physical Therapist
  • Spokane, WA
  • NPI 1063585982
  Authorized official Same address or phone

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1932295979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 EAST MISSION",
            "address_2": "SUITE 104",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161079",
            "telephone_number": "509-928-1500",
            "fax_number": "509-928-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 EAST MISSION",
            "address_2": "SUITE 104",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161079",
            "telephone_number": "509-928-1500",
            "fax_number": "509-928-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8336026",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen W Ruark, M.D.
• Jodi Marie Ruaro
• Morris Muriithi Rucathi, RN
• Rachel Marie Rudder
• Karina A Rudmann, DPT
• Sarah Kay Rudolph, LMP
• Dale R Ruemping, D.D.S. , M.S.D.
• Anupama R Ruiz, LMP
• Daidalus-Nikolai Soon Ruiz, RN
• Joanna Ruth Rusch, PHARM.D.

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.