MRS. JESSICA LYNN RUDOLPH PT
NPI 1679669220
Physical Therapist in Gilbert, AZ

Active since October 04, 2006Accepts Medicare Assignment
2940 E BANNER GATEWAY DR STE 425, GILBERT, AZ 85234(480) 813-7900 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Lynn Rudolph Pt NPPES

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

MRS. JESSICA LYNN RUDOLPH PT (NPI 1679669220) is an individual physical therapist in Gilbert, Arizona, licensed in Arizona (LPT-005345) and active in the NPI registry since October 2006. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1679669220
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JESSICA LYNN RUDOLPHCredential: PT
Location Address2940 E BANNER GATEWAY DR STE 425Gilbert, AZ 85234-2177
Mailing Address419 E Julian DrGilbert, AZ 85295-1651 · (480) 917-7951
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
NPI 1679669220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in AZ · LPT-005345 Licensed in AZ · 5345
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2940 E BANNER GATEWAY DR STE 425, Gilbert, AZ 85234

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

Mrs. Jessica Lynn Rudolph Pt 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 ID2668573692
PECOS Enrollment IDI20070720000606

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 8

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Prosthetic/Orthotic Supplier
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Occupational Therapist
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Physical Therapist
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Physical Therapist
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Occupational Therapist
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Physical Medicine & Rehabilitation
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234
Physical Therapist
2940 E BANNER GATEWAY DR STE 425
GILBERT, AZ 85234

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 Rudolph's NPI number?

The NPI number for Jessica Rudolph is 1679669220. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jessica Rudolph located?

Jessica Rudolph practices at 2940 E Banner Gateway Dr Ste 425, Gilbert, AZ 85234. The listed phone number is (480) 813-7900.

What is Jessica Rudolph's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jessica Rudolph enrolled in Medicare?

Yes. Jessica 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 Jessica Rudolph accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Jessica 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 Jessica Rudolph was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.