KATHERINE RUDENICK – Physical Therapist, NPI 1730807843

KATHERINE RUDENICK is a healthcare provider. based in Blackduck, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 12811 (MN). The NPI Number for KATHERINE RUDENICK is 1730807843

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE RUDENICK
NPI
1730807843
Phone
(218) 835-3425
Address
50 Margaret Ave NE
Enumeration Date
16 August 2022
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188353425
Graduation Year
2022 (4 years ago)
PAC ID
0547644080
Group Practice PAC ID
7618022930
Professional Enrollment ID
I20220831003478
Address ID
MN566304509BL50XXXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for KATHERINE RUDENICK

  • 50 Margaret Ave NE

    Blackduck, MN 566304509

    Phone: (218) 835-3425

    Type: Location

  • 3835 SUPREME CT NW STE 2

    BEMIDJI, MN 566014485

    Phone: (218) 444-8280

    Type: Mailing

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: 2022-08-31

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
I20220831003478IPhysical Therapist In Private PracticeMNTBD

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 minutes87965$0
97530Therapy procedure using functional activities83864$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes52562$0
97140Therapy procedure using manual technique, each 15 minutes35749$0
97161Evaluation for physical therapy, typically 20 minutes5850$0
View full utilization report →

Insurance plans in this area (ZIP 56630)

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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: 7618022930View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How do payers reference KATHERINE RUDENICK?
For KATHERINE RUDENICK, use NPI 1730807843 as the unique 10-digit identifier.
Would KATHERINE RUDENICK appear as active to a payer?
You can treat KATHERINE RUDENICK as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATHERINE RUDENICK?
KATHERINE RUDENICK is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KATHERINE RUDENICK?
Directory geography for KATHERINE RUDENICK centers on Blackduck, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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