Doctor profile · Federal record
Dr. Jesse Rudolph, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Pawtucket, RI
- NPI 1346815826
- Accepts Medicare
- MIPS 88.3 / 100 · 2023
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
21 Division St
Pawtucket, RI 028605352
(401) 726-7100
fax (401) 722-9386 - Mailing address
-
4 Richmond Sq Ste 200
Providence, RI 029065117
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Rhode Island #PT03389
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346815826. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
663
Distinct HCPCS
4
Medicare allowed
$17,920
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 324 | 23 | $24 | |
97530 |
Therapy procedure using functional activities | 191 | 22 | $34 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 78 | 12 | $28 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 70 | 12 | $21 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 260. This provider delivers 2.6× the peer median.Frequently asked questions
What is Dr. Jesse Rudolph's medical specialty?
Dr. Jesse Rudolph practices Physical Therapist in Pawtucket, RI.
Where does Dr. Jesse Rudolph practice?
Dr. Jesse Rudolph practices at 21 Division St, Pawtucket, RI 028605352. Office phone: 4017267100.
What is Dr. Jesse Rudolph's NPI?
Dr. Jesse Rudolph's National Provider Identifier (NPI) is 1346815826, issued by NPPES.
Does Dr. Jesse Rudolph accept Medicare assignment?
Yes. Dr. Jesse Rudolph accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jesse Rudolph commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.