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

Mrs. Dawn Lee Rudolph, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1437769478

Mrs. Dawn Lee Rudolph, OTR/L is an Occupational Therapist in Private Practice in Jacksonville, Florida. Qualified in 1999, 27 years ago. Practices with Revive Rehab Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

4745 Sutton Park Ct Ste 403
Jacksonville, FL 32224-0255
Phone: (904) 371-4649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence OT9361 (FL)

Record details

NPI number1437769478
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 4, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Revive Rehab Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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