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

Rudolph Mitchell

Individual provider Physical Therapist · NPI 1518626290

Rudolph Mitchell is a Physical Therapist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

1415 Richmond Ave
Staten Island, NY 10314-1553
Phone: (877) 407-3422
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048017-1 (NY)

Record details

NPI number1518626290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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