CHANDLER RUDOLPH PT, DPT
NPI 1366155095
Clinic/Center - Physical Therapy in Layton, UT

Active since December 27, 2022Accepts Medicare Assignment
2950 N CHURCH ST, LAYTON, UT 84040(801) 547-9462 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2023, Dec 27, 2022 (2 updates tracked since 2022).

About Chandler Rudolph Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDLER RUDOLPH PT, DPT (NPI 1366155095) is an individual physical therapy provider in Layton, Utah, licensed in Utah (13133774-2401) and active in the NPI registry since December 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1366155095
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameCHANDLER RUDOLPHCredential: PT, DPT
Location Address2950 N CHURCH STLayton, UT 84040-6504
Mailing Address2950 N Church StLayton, UT 84040-6504 · (801) 547-9462
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 27, 2022
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1366155095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in UT · 13133774-2401
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
2950 N CHURCH ST, Layton, UT 84040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chandler Rudolph Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325547441
PECOS Enrollment IDI20250815003561

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2950 N CHURCH ST, STE 101
LAYTON, UT 84040
Physical Therapist
2950 N CHURCH ST, STE. 102
LAYTON, UT 84040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandler Rudolph's NPI number?

The NPI number for Chandler Rudolph is 1366155095. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Chandler Rudolph located?

Chandler Rudolph practices at 2950 N Church St, Layton, UT 84040. The listed phone number is (801) 547-9462.

What is Chandler Rudolph's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Chandler Rudolph enrolled in Medicare?

Yes. Chandler Rudolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chandler Rudolph accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Chandler Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chandler Rudolph was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.