Tressa Rudolph, PT, MTC
NPI 1124103908ActiveIndividual· Physical Therapist· Falcon, CO
Physical Therapist (PT, MTC) with Colorado Luna Care Physical Therapy LLC, practicing in Falcon, Colorado. Medicare paid $10,812 for services to 34 patients in 2024.
Overview
| NPI | 1124103908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MTC |
| Sole proprietor | Yes |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | May 16, 2024 |
| Certified by provider | May 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTL.0016599 | CO |
| Physical Therapist | 225100000X | PT003129 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 501 across 8 procedure codes |
| Paid by Medicare | $10,812 |
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Colorado Luna Care Physical Therapy LLCDenver, CO · 212 clinicians
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