KATLYN RUSH (DPT) – Physical Therapist, NPI 1063952018

KATLYN RUSH (DPT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 8504 (SC). The NPI Number for KATLYN RUSH (DPT) is 1063952018

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATLYN RUSH (DPT)
NPI
1063952018
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
24 February 2017
Last Update Date
24 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8645285753
Graduation Year
2016 (10 years ago)
PAC ID
9133496441
Group Practice PAC ID
0244267771
Professional Enrollment ID
I20170517000033
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KATLYN RUSH (DPT)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 1397 SILVER BLUFF RD

    STE 100

    AIKEN, SC 298039784

    Phone: (803) 220-1073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170517000033IPhysical Therapist In Private PracticeSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,594197$0
97530Therapy procedure using functional activities1,298192$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41196$0
97140Therapy procedure using manual technique, each 15 minutes29582$0
97161Evaluation for physical therapy, typically 20 minutes123111$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244267771View full group profile
NameSpecialtyState
-SC
-SC
Physical Therapist In Private PracticeNC
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeIL
-WV
Physical Therapist In Private PracticeNY
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I verify KATLYN RUSH (DPT) with an NPI only?
You can start verification with NPI 1063952018 for KATLYN RUSH (DPT), then check state licensing separately.
Can I rely on KATLYN RUSH (DPT) being an active provider?
As of the registry snapshot, KATLYN RUSH (DPT) is marked active.
What taxonomy line describes KATLYN RUSH (DPT)?
For research purposes, treat KATLYN RUSH (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does KATLYN RUSH (DPT) list a practice location?
Patients near Bolingbrook, Illinois may find KATLYN RUSH (DPT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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