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

Evan Hansen Rudolph

Individual provider Physical Therapist · NPI 1891649356

Evan Hansen Rudolph is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2025, 1 year ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2026
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Practice location Address checks out

827 NE Lakewood Blvd
Lees Summit, MO 64064-1366
Phone: (816) 533-6931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2026008296 (MO)

Record details

NPI number1891649356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lees Summit