KIMBERLY RUDD (PT, DPT) – Physical Therapist, NPI 1487260899

KIMBERLY RUDD (PT, DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in Physical Therapist. They hold the professional credentials PT, DPT. They hold a License No. 4143 (NE). The NPI Number for KIMBERLY RUDD (PT, DPT) is 1487260899

Main info

Female
Sole Proprietor
Name
KIMBERLY RUDD (PT, DPT)
NPI
1487260899
Phone
(402) 280-3555
Address
17055 FRANCES ST STE 100
Enumeration Date
21 September 2020
Last Update Date
8 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY RUDD (PT, DPT)

  • 17055 FRANCES ST STE 100

    OMAHA, NE 681304655

    Phone: (402) 280-3555

    Type: Location

  • 200 S 31ST AVE APT 4206

    OMAHA, NE 681311407

    Phone: (208) 841-3131

    Type: Mailing

  • 800 PARK DR

    SPRINGFIELD, NE 68059

    Phone: (208) 841-3131

    Type: Mailing

  • 880 PARK DR

    SPRINGFIELD, NE 680596845

    Phone: (402) 253-3079

    Type: Location

  • 880 Park Dr

    Springfield, NE 680596845

    Phone: (402) 253-3079

    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: 2020-12-31

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
I20201231001061IPhysical Therapist In Private PracticeNETBD

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 activities18242$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16441$0
97162Evaluation for physical therapy, typically 30 minutes4337$0
View full utilization report →

Insurance plans in this area (ZIP 68130)

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Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY RUDD (PT, DPT)'s NPI?
Yes. KIMBERLY RUDD (PT, DPT) is listed with NPI 1487260899 in the public NPI dataset.
Can I rely on KIMBERLY RUDD (PT, DPT) being an active provider?
As of the registry snapshot, KIMBERLY RUDD (PT, DPT) is marked active.
What is KIMBERLY RUDD (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for KIMBERLY RUDD (PT, DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY RUDD (PT, DPT) on a map?
Expect Omaha, Nebraska as a primary anchor for KIMBERLY RUDD (PT, DPT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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