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Dr. Chandler Rudolph , PT, DPT

Physician β€’ Layton, UT

Active NPI 1366155095 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2950 N Church St
Layton, UT 840406504

Call 8015479462 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2950 N Church St

Layton, UT 840406504

Telephone 8015479462
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mountain Land Rehabilitation Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Rudolph has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-04
Clinic/Center - Physical Therapy Primary Specialty

NUCC Taxonomy Code: 261QP2000X

License # reported to NPPES UT 13133774-2401

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20250815003561

Enrollment State Jurisdiction

UT

PECOS Control ID

8325547441

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mountain Land Rehabilitation Llc

2950 N Church St, Layton, UT 840406590

Phone: 8015479462

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Steinia Lewis

Physician Assistant - Medical

NPI 1295187615

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 04, 2023

Registered at 2950 N CHURCH ST, LAYTON, UT 840406504 (Tel: 8015479462)

πŸ“
Updated Business Mailing Address May 04, 2023

Registered at 2950 N CHURCH ST, LAYTON, UT 840406504 (Tel: 8015479462)

βœ…
NPI Profile Active December 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 27, 2022

Registered at 264 W 2060 N APT 2, SUNSET, UT 840153567 (Tel: 8014992044)

πŸ“
Business Mailing Address (Initial Record) December 27, 2022

Registered at 264 W 2060 N APT 2, SUNSET, UT 840153567 (Tel: 8014992044)

πŸ‘€
Provider Name / Credentials (Initial Record) December 27, 2022

Recorded as CHANDLER RUDOLPH, PT, DPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2022

Clinic/Center (license number reported to NPPES: UT 13133774-2401)

🟒
Initial NPI Registration & Enumeration December 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366155095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2022
Last Update: May 04, 2023
Sole Proprietor: Yes

Mailing Address

2950 N Church St

Layton, UT 840406504

Phone: 8015479462

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.