Mrs Stephanie Marie Rudisill, OTR - Occupational Therapist in Park City, UT

Mrs Stephanie Marie Rudisill, OTR is a Occupational Therapist based in Park City, Utah. Mrs Stephanie Marie Rudisill is licensed to practice in Texas (license number 109688) and her current practice location is 1640 Redstone Center Dr, Suite 200, Park City, Utah. She can be reached at her office (for appointments etc.) via phone at (214) 575-9820.

NPI number for Mrs Stephanie Marie Rudisill is 1063633964 and her current mailing address is 703 Northill Dr, Richardson, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063633964.

Contact Information

Mrs Stephanie Marie Rudisill, OTR
1640 Redstone Center Dr, Suite 200,
Park City, UT 84098-7605
(214) 575-9820
(214) 575-9846



Healthcare Provider's Profile

Full NameMrs Stephanie Marie Rudisill
GenderFemale
SpecialityOccupational Therapist
Location1640 Redstone Center Dr, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063633964
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Stephanie Marie Rudisill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063633964NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 109688 (Texas)Primary

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. Mrs Stephanie Marie Rudisill is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stephanie Marie Rudisill, OTR
703 Northill Dr,
Richardson, TX 75080-5018

Ph: (972) 238-7192
Mrs Stephanie Marie Rudisill, OTR
1640 Redstone Center Dr, Suite 200,
Park City, UT 84098-7605

Ph: (214) 575-9820

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Occupational Therapist in Park City, UT

Megan B Williams, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2015 Sidewinder Dr, Park City, UT 84060
Phone: 435-645-9095    Fax: 435-645-9092
Stephanie Anne Polukoff, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4910 Bear View Dr, Park City, UT 84098
Phone: 435-640-9001    
Bounce Therapy Llc
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6318 View Dr, Park City, UT 84098
Phone: 435-655-1210    
Lacey Ann Zimmermann, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 4554 Forestdale Dr Unit E26, Park City, UT 84098
Phone: 435-400-4064    
Darrell Larry, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098
Phone: 312-301-0411    
Nichole Bernhard, O.T.R.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 900 Round Valley Dr, Park City, UT 84060
Phone: 435-658-7359    

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