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

Melissa A Rudolph, PT, DPT

Individual provider Physical Therapist · NPI 1497272314

Melissa A Rudolph, PT, DPT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2017, 9 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

1950 S Country Club Dr
Mesa, AZ 85210-6043
Phone: (480) 436-5099
Fax: (480) 436-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7525 E Broadway Rd Ste 6, Mesa, AZ 85208-1156 — (480) 354-2911

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13267 (AZ)

Record details

NPI number1497272314
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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