CHANDLER RUDOLPH PT, DPT
NPI 1366155095
Clinic/Center - Physical Therapy in Layton, UT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Chandler Rudolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84121
- Reassigned Medicare billing, Utah enrollment
- 178 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Chandler Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandler Rudolph reassigns Medicare benefits to Mountain Land Rehabilitation LLC (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chandler Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.