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Dawn Lee Rudolph, OTR/L

NPI 1437769478ActiveIndividual· Occupational Therapist, Gerontology· Jacksonville, FL

Occupational Therapist, Gerontology (OTR/L) with Revive Rehab Inc, practicing in Jacksonville, Florida. Medicare paid $32,895 for services to 63 patients in 2024.

Overview

NPI1437769478
StatusActive
Entity typeIndividual
CredentialOTR/L
Sole proprietorNo
NPI issuedAug 4, 2020
Last updated in NPPESAug 4, 2020
Certified by providerAug 4, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist, Gerontology Primary225XG0600XOT9361FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Occupational Therapist in Private Practice (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients63
Services billed1,772 across 9 procedure codes
Paid by Medicare$32,895

Medicare sources and data years

Education and affiliations

Graduation year1999
Medicare specialtyOccupational Therapist In Private Practice

Medical group

Source: CMS Care Compare

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