KATHRYN BLUM (D.P.T.) – Physical Therapist, NPI 1043599780

KATHRYN BLUM (D.P.T.) is a healthcare provider. based in Mishawaka, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 05010593A (IN). The NPI Number for KATHRYN BLUM (D.P.T.) is 1043599780

Main info

Female
15 Years Of Experience
Name
KATHRYN BLUM (D.P.T.)
NPI
1043599780
Phone
Not provided
Address
15651 ROBIN LN
Enumeration Date
11 August 2011
Last Update Date
4 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742335754
Graduation Year
2011 (15 years ago)
PAC ID
9638303944
Group Practice PAC ID
0446386650
Professional Enrollment ID
I20130927000370
Address ID
IN466153723SO1005XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for KATHRYN BLUM (D.P.T.)

  • 15651 ROBIN LN

    MISHAWAKA, IN 465451564

    Phone:

    Type: Mailing

  • 1005 N HICKORY RD

    SOUTH BEND, IN 466153723

    Phone: (574) 233-5754

    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: 2013-09-27

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
I20130927000370IPhysical Therapist In Private PracticeINTBD

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
97530Therapy procedure using functional activities1,637128$0
97140Therapy procedure using manual technique, each 15 minutes38871$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care29447$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18246$0
97012Application of mechanical traction10522$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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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: 0446386650View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-FL
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What federal number belongs to KATHRYN BLUM (D.P.T.)?
The federal identifier for KATHRYN BLUM (D.P.T.) is NPI 1043599780.
Is KATHRYN BLUM (D.P.T.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KATHRYN BLUM (D.P.T.) work in?
You can think of KATHRYN BLUM (D.P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHRYN BLUM (D.P.T.)?
The page summarizes Mishawaka, Indiana for KATHRYN BLUM (D.P.T.); expand the address list for detail.
How can I contact KATHRYN BLUM (D.P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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