IndividualActive
Nicholas Rudolph
NPI 1104312834 · Physical Therapist · Waseca, MN
Provider details
- NPI number
- 1104312834
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11207 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 State St N
Waseca, MN 56093-2811
Phone: (507) 781-8261
Street-level locationGet directions
Mailing address
320 22nd Ave Ne
Waseca, MN 56093-2670
Additional practice locations (2)
- 6515 Barrie Rd Ste 100Edina, MN 55435-2364Phone: (952) 922-5019
- 14712 Victor Hugo Blvd NHugo, MN 55038-6419Phone: (651) 466-1950
Registry dates
- Enumerated
- 2018-07-05
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.