GREY RUDOLPH (DPT) – Physical Therapist, NPI 1073596383

GREY RUDOLPH (DPT) is a healthcare provider. based in Fort collins, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 8819 (CO). The NPI Number for GREY RUDOLPH (DPT) is 1073596383

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
GREY RUDOLPH (DPT)
NPI
1073596383
Phone
(970) 493-0112
Address
2500 E PROSPECT
Enumeration Date
22 November 2005
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704930112
Graduation Year
1992 (34 years ago)
PAC ID
6709812621
Group Practice PAC ID
0244126365
Professional Enrollment ID
I20050712001112
Address ID
CO805259718FO2500XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for GREY RUDOLPH (DPT)

  • Orthopaedic & Spine Center of the Rockies, 2500, East Prospect Road, Fort Collins, Larimer County, Colorado, 80525, United States

    FORT COLLINS, CO 805259718

    Phone: (970) 493-0112

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050712001112IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes480123$0
97140Therapy procedure using manual technique, each 15 minutes303101$0
97530Therapy procedure using functional activities15059$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10765$0
97161Evaluation for physical therapy, typically 20 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 80525)

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Provider's Procedures

GREY RUDOLPH (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes898171

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244126365View full group profile
NameSpecialtyState
Sports MedicineCO
Physician AssistantCO
Physical Therapist In Private PracticeCO
Physician AssistantIN
Physician AssistantCO
Orthopedic SurgeryCO
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physician AssistantCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Can I use this page to confirm GREY RUDOLPH (DPT)'s NPI?
Yes. GREY RUDOLPH (DPT) is listed with NPI 1073596383 in the public NPI dataset.
Can I rely on GREY RUDOLPH (DPT) being an active provider?
As of the registry snapshot, GREY RUDOLPH (DPT) is marked active.
What taxonomy line describes GREY RUDOLPH (DPT)?
For research purposes, treat GREY RUDOLPH (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is GREY RUDOLPH (DPT) based?
GREY RUDOLPH (DPT) is tied to Fort Collins, Colorado in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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