Zachary Rudisill, in Bellevue, WA - Medicare Physical Therapist Provider

Zachary Rudisill, is a medicare enrolled "Physical Therapist" provider in Bellevue, Washington. His current practice location is 15600 Ne 8th St Ste E6, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 214-7679.

Zachary Rudisill is licensed to practice in Florida (license number PT41063) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114791092.

Contact Information

	Zachary Rudisill,
	15600 Ne 8th St Ste E6, Bellevue, WA 98008-4087
	(425) 214-7679
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Zachary Rudisill
Gender	Male
Speciality	Physical Therapist
Location	15600 Ne 8th St Ste E6, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114791092
Provider Enumeration Date: 11/10/2023
Last Update Date: 09/27/2025

Medicare PECOS Information:

PECOS PAC ID: 8022466614
Enrollment ID: I20231120002771

Medical Identifiers

Medical identifiers for Zachary Rudisill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114791092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT41063 (Florida)	Primary
225100000X	Physical Therapist	LPT-034056 (Arizona)	Secondary
225100000X	Physical Therapist	2305216170 (Virginia)	Secondary
225100000X	Physical Therapist	PTL.0019776 (Colorado)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Zachary Rudisill allows following entities to bill medicare on his behalf.

Provider Name	Pelican Sports & Rehabilitation Of Naples
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558511725 PECOS PAC ID: 3375693286 Enrollment ID: O20090616000371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zachary Rudisill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Zachary Rudisill, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206	Zachary Rudisill, 15600 Ne 8th St Ste E6, Bellevue, WA 98008-4087 Ph: (425) 214-7679

Reviews and Comments

Physical Therapist in Bellevue, WA

Kay Wieben, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5860
Mike B Hearron, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Olympic Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-646-3901
Julie L Lampson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1188 106th Ave Ne, Suite 100, Bellevue, WA 98004 Phone: 425-455-2630 Fax: 425-451-4390
Ms. Lynne Maureen Robinson, PT, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12432 Se 25th Pl, Bellevue, WA 98005 Phone: 425-445-2767 Fax: 425-641-1005
Jessica Elizabeth Digiacomo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14100 Se 36th St Ste 210, Bellevue, WA 98006 Phone: 425-653-7100 Fax: 425-653-7109
Mrs. Alice G. Schoos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 116th Ave Ne, Suite 110, Bellevue, WA 98004 Phone: 425-450-9801 Fax: 425-450-9778

Zachary Rudisill, - Medicare Physical Therapist in Bellevue, WA