Active NPI
Evan Rudolf
- Physical Therapist
- Myerstown, PA
National Provider Identifier
1952247108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT034515
- Practice address
- 420 W Lincoln Ave
Myerstown, PA 17067-2327 - Phone
- (717) 610-4347
- NPI assigned
- Apr 28, 2026
- Sex
- Male
- 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 | PT034515 | PA | Primary |
Addresses
Primary practice location
420 W Lincoln Ave
Myerstown, PA 17067-2327
Mailing address
PO Box 392573
Pittsburgh, PA 15251-1661
Other practice location 1
3130 Pricetown Rd Ste B
Fleetwood, PA 19522-8750
Phone (484) 577-4410
Other practice location 2
3580 Penn Ave Ste 105
Reading, PA 19608-1188
Phone (484) 709-1893
Other practice location 3
6877 Penn Ave
Wernersville, PA 19565-9611
Phone (267) 470-1449
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Phoenix Rehabilitation and Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
-
- Speech-Language Pathologist
- Blairsville, PA
- NPI 1972604783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1952247108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392573",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152511661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W LINCOLN AVE",
"city": "MYERSTOWN",
"state": "PA",
"postal_code": "170672327",
"telephone_number": "717-610-4347"
}
],
"practiceLocations": [
{
"address_1": "3130 Pricetown Rd Ste B",
"address_purpose": "LOCATION",
"city": "Fleetwood",
"state": "PA",
"postal_code": "195228750",
"country_code": "US",
"telephone_number": "484-577-4410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3580 Penn Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Reading",
"state": "PA",
"postal_code": "196081188",
"country_code": "US",
"telephone_number": "484-709-1893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6877 Penn Ave",
"address_purpose": "LOCATION",
"city": "Wernersville",
"state": "PA",
"postal_code": "195659611",
"country_code": "US",
"telephone_number": "267-470-1449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDOLF",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT034515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myerstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.