KATELYN KUSH (DPT) – Physical Therapist, NPI 1194349555

KATELYN KUSH (DPT) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 05013618A (IN). The NPI Number for KATELYN KUSH (DPT) is 1194349555

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN KUSH (DPT)
NPI
1194349555
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
2 June 2020
Last Update Date
30 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5746472930
Graduation Year
2019 (7 years ago)
PAC ID
0244653004
Group Practice PAC ID
1254690530
Professional Enrollment ID
I20200713001031
Address ID
IN465307196GR3221XPKWY301

Contacts

Secure Messaging
keharvey@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for KATELYN KUSH (DPT)

  • 710 N NILES AVE

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-2129

    Fax: (574) 237-6069

    Type: Mailing

  • 3221 BEACON PKWY STE 100

    GRANGER, IN 465307196

    Phone: (574) 647-2930

    Type: Location

  • 200 E Jackson Blvd Ste 150

    Elkhart, IN 465163513

    Phone: (574) 389-5558

    Fax: (574) 389-5559

    Type: Location

  • 1815 E Ireland Rd Ste 100

    South Bend, IN 466142845

    Phone: (574) 647-5790

    Fax: (574) 647-5792

    Type: Location

  • 2222 Rieth Blvd Ste 103

    Goshen, IN 465265869

    Phone: (574) 875-9616

    Fax: (574) 875-9817

    Type: Location

  • 900 I St Ste 100

    LA Porte, IN 463505533

    Phone: (219) 324-1730

    Fax: (219) 324-1735

    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: 2020-07-13

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
I20200713001031IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11648$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1814$0
97140Therapy procedure using manual technique, each 15 minutes1714$0
97162Evaluation for physical therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 1254690530View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
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
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
-IN

Reviews

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Frequently asked questions

How do I look up KATELYN KUSH (DPT) by NPI?
Use NPI 1194349555 when you need to reference KATELYN KUSH (DPT) in forms, claims, or directories.
Does this profile mean KATELYN KUSH (DPT) is currently active?
Yes — KATELYN KUSH (DPT) appears active in the national provider directory.
What does KATELYN KUSH (DPT) treat or focus on?
Patients typically see KATELYN KUSH (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATELYN KUSH (DPT)?
The page summarizes South Bend, Indiana for KATELYN KUSH (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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