Individual ProviderRebecca Elizabeth RudisillPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 345-7600(706) 833-1587PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Elizabeth Rudisill does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1285292987Provider TypeIndividualFull NameRudisill, Rebecca ElizabethTitleDr.CredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date5/29/2019Last Updated5/29/2019Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 345-7600FaxUnlisted FaxMailing LocationMailing Address25 Woodvine Dr, North Augusta, SC 29860-9730Phone(706) 833-1587FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense9684South Carolina