{"npi":"1073596383","type":"NPI-1","status":"active","name":{"display":"Grey Rudolph Dpt","other":[],"first":"GREY","last":"RUDOLPH","credential":"DPT"},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"CO","license":"8819"}]},"addresses":[{"purpose":"LOCATION","street_1":"2500 E PROSPECT","city":"FORT COLLINS","state":"CO","postal_code":"805259718","country_code":"US","phone":"9704930112"},{"purpose":"MAILING","street_1":"2500 E PROSPECT","city":"FORT COLLINS","state":"CO","postal_code":"805259718","country_code":"US","phone":"9704930112"}],"license":{"state":"CO","number":"8819"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"74682261","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"P00781111","state":"CO","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050712001112","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CO","pac_id":"6709812621"}]},"enumeration_date":"2005-11-22","last_updated":"2019-12-16","_meta":{"source":"NPPES","snapshot_date":"2019-12-16","doc_url":"https://findmynpi.com/api"}}