| Trent Rudebeck, PT, DPT | |
|
2219 Bel Pre Rd, Aspen Hill, MD 20906-2204 | |
| (443) 566-4255 | |
| Not Available |
| Full Name | Trent Rudebeck |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2219 Bel Pre Rd, Aspen Hill, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21929 (North Carolina) | Primary |
| Provider Name | Peak Performance Sports And Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194714063 PECOS PAC ID: 0749276426 Enrollment ID: O20040421000043 |
| Provider Name | Ivyrehab North Carolina Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Rudebeck, PT, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () - | Trent Rudebeck, PT, DPT 2219 Bel Pre Rd, Aspen Hill, MD 20906-2204 Ph: (443) 566-4255 |
Dr. Shaun Baldwin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2219 Bel Pre Rd, Aspen Hill, MD 20906 Phone: 443-566-4255 Fax: 443-566-4234 | |
Darryl Nash Jones, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2219 Bel Pre Rd, Aspen Hill, MD 20906 Phone: 443-566-4255 | |
Dr. Kaitlyn Nicole Boyer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2219 Bel Pre Rd, Aspen Hill, MD 20906 Phone: 443-566-4255 |