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

Mrs. Jessica Lynn Rudolph, PT

Individual provider Physical Therapist · NPI 1679669220

Mrs. Jessica Lynn Rudolph, PT is a Physical Therapist in Private Practice in Gilbert, Arizona. Qualified in 2000, 26 years ago. Practices with White Mountain Physical Therapy Ltd, a 15-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2940 E Banner Gateway Dr Ste 425
Gilbert, AZ 85234-2177
Phone: (480) 813-7900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-005345 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 5345 (AZ)

Record details

NPI number1679669220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice White Mountain Physical Therapy Ltd — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gilbert