Individual provider Active NPI

Evan Rudolf

  • Physical Therapist
  • Myerstown, PA
National Provider Identifier
1952247108
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT034515 Issued in PA
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

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.