MICHELLE RUDOLPH (NPI# 1578725354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578725354 |
| Entity Type | Individual |
| Full Name | MICHELLE RUDOLPH |
| Credential | PT |
| Practice Address |
2207 Concord Ave Nw Ste 100 Corydon IN 47112-3097 |
| Mailing Address |
150 Beechmont Dr Ne Corydon IN 47112-1717 |
| Practice Telephone | 8127383616 |
| Mailing Telephone | 8127380550 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
05007357A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Beechmont Dr Ne, Corydon, IN 471121717 | 8127380550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726948 | Michelle Rudolph | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-10-23 |
| 1578002028 | Michelle H Rudolph | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2017-02-16 |
| 1841629342 | Michelle E Rudolph | Social Worker | 113 Bowman Ave, Rye Brook, NY 10573-2808 | 2013-11-05 |
| Street Address |
2207 CONCORD AVE NW STE 100 |
| City | CORYDON |
| State | IN |
| Zip Code | 47112-3097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257293 | Robin Ann Sprigler | Physical Therapist | 2207 Concord Ave Nw Ste 100, Corydon, IN 47112-3097 | 2019-04-22 |
| 1164085874 | Mary Lois Hammond | Physical Therapist | 2207 Concord Ave Nw Ste 100, Corydon, IN 47112-3097 | 2019-04-18 |
| 1831339985 | Jacqueline Smith | Physical Therapist | 2207 Concord Ave Nw Ste 100, Corydon, IN 47112-3097 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073544 | Frances M Lasley | Massage Therapist | 1300 N Old Hwy 135, Ste 3, Corydon, IN 47112 | 2020-04-30 |
| 1730744525 | Elizabeth Walden-fisher | Social Worker | Lifespring Health Systems, 535 Country Club Road, S.e., Corydon, IN 47112 | 2019-05-07 |
| 1770927030 | Hannah Wallace | Speech-Language Pathologist | 1079 Alexis Ave Ne, Corydon, IN 47112 | 2013-04-17 |
| 1346590502 | Rocky Mountain Holdings LLC | Ambulance | 1269 Hospital Dr Nw, Corydon, IN 47112 | 2012-09-14 |
| 1295011294 | Karen Lynn Vannis | Pharmacist | 1716 Hwy 337 Nw, Corydon, IN 47112 | 2011-10-24 |
| 1164710109 | Chris Alan Bezy | Social Worker | 2179 Liberty Way Nw, Corydon, IN 47112 | 2011-07-12 |
| 1902102940 | William Thomas Logsdon Sr. | Hearing Instrument Specialist | 925 Settler Trace, Corydon, IN 47112 | 2011-02-09 |
| 1841507191 | Donna Richmond | Specialist | 150 Beechmont Dr, Harrison Health and Rehabilitation Center, Corydon, IN 47112 | 2010-09-08 |
| 1356670053 | Harrison Township Fire Protection District | Ambulance | 120 Hilltop Dr, Corydon, IN 47112 | 2009-12-09 |
| 1982852083 | Linda Kaufer | Physical Therapy Assistant | 150 Beechmont Drive, Corydon, IN 47112 | 2008-09-03 |
| Find all providers in zip 47112 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861994 | Meriam Singson | Physical Therapist | 2601 Covington Commons Dr, Fort Wayne, IN 46804-7333 | 2020-05-05 |
| 1083172233 | Mariliz Jimenez Dykstra | Physical Therapist | 7573 W 121st Ave, Crown Point, IN 46307-8716 | 2019-03-06 |
| 1659836112 | Darron Scott Bailey | Physical Therapist | 901 S Hastings Dr, Bloomington, IN 47401-8205 | 2019-02-08 |
| 1972076198 | Wingard Wellness & Therapy Services | Physical Therapist | 5792 S Ornamental Dr, Bloomington, IN 47401-9307 | 2019-01-10 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1790138535 | Jovelyn Uy Espinosa | Physical Therapist | 316 Chisholm Pl, Fort Wayne, IN 46825-6573 | 2016-07-17 |
| 1396169504 | Najmeh Hoseini | Physical Therapist | 1025 E 7th St # 112, Bloomington, IN 47405-7109 | 2014-02-07 |
| 1447682091 | Jacqueline Elaine Morone | Physical Therapist | 10638 Windjammer Cir, Indianapolis, IN 46236-8933 | 2013-08-06 |
| 1932450012 | Jagriti N Mayer | Physical Therapist | 77 White Oak Dr, Batesville, IN 47006-7693 | 2012-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.