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

Gordon Davis Rudell, PT

Individual provider Physical Therapist · NPI 1821463183

Gordon Davis Rudell, PT is a Physical Therapist in Private Practice in East Ridge, Tennessee. Qualified in 2016, 10 years ago. Practices with East Tennessee Spine and Sport Inc, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
10
Licensed in
TN
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1467 N Mack Smith Rd
East Ridge, TN 37412-3947
Phone: (423) 894-4403
Fax: (423) 894-4513
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (TN)

Record details

NPI number1821463183
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 11, 2015
Last updated in NPPESDecember 11, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice East Tennessee Spine And Sport Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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