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

Sidney Avan Rudd, PT, DPT

Individual provider Physical Therapist · NPI 1801619929

Sidney Avan Rudd, PT, DPT is a Physical Therapist in Private Practice in Benton, Kentucky. Qualified in 2024, 2 years ago. Practices with Dawson Physical Therapy, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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

315 W 5th St Ste 200
Benton, KY 42025-1152
Phone: (270) 252-7200
Fax: (270) 252-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 009233 (KY)

Record details

NPI number1801619929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1489 Oak Level Rd, Benton, KY 42025-5354

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dawson Physical Therapy, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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