Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA RUDEBOCK CTRS
NPI 1538075965
Recreation Therapist in West Bloomfield, MI

Active since August 24, 2026
1797 POPPLETON DR, WEST BLOOMFIELD, MI 48324(734) 352-3543 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jessica Rudebock Ctrs NPPES

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

JESSICA RUDEBOCK CTRS (NPI 1538075965) is an individual recreation therapist in West Bloomfield, Michigan, licensed in Ohio (87531) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1538075965
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameJESSICA RUDEBOCKCredential: CTRS
Location Address1797 POPPLETON DRWest Bloomfield, MI 48324-1148
Mailing Address3588 Plymouth Rd # 393Ann Arbor, MI 48105-2603 · (734) 352-3543
Sole ProprietorYes
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
NPI 1538075965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License Licensed in OH · 87531
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1797 POPPLETON DR, West Bloomfield, MI 48324

Other Providers at the Same Location NPPES

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

Recreation Therapist
1797 POPPLETON DR
WEST BLOOMFIELD, MI 48324

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 Jessica Rudebock's NPI number?

The NPI number for Jessica Rudebock is 1538075965. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Jessica Rudebock located?

Jessica Rudebock practices at 1797 Poppleton Dr, West Bloomfield, MI 48324. The listed phone number is (734) 352-3543.

What is Jessica Rudebock's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Jessica Rudebock was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.