Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chandler Rudolph, PT, DPT

Individual provider Physical Therapy Clinic/Center · NPI 1366155095

Chandler Rudolph, PT, DPT is a Physical Therapist in Private Practice in Layton, Utah. Qualified in 2022, 4 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2950 N Church St
Layton, UT 84040-6504
Phone: (801) 547-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 13133774-2401 (UT)

Record details

NPI number1366155095
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedDecember 27, 2022
Last updated in NPPESMay 4, 2023
Certification dateMay 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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