Katherine Rudrud, PT, DPT – Physical Therapist

Key facts

NPI: 1114593258
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 070025896 (IL)
Practice address: 41 Waukegan Rd
Glenview, IL 60025-5154
Phone: (847) 707-6744
NPI assigned: May 30, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Little Steps Pediatric Physical Therapy PC Pediatric Physical Therapist · Skokie, IL · NPI 1134408305

NPD (past)
Little Steps Pediatric Physical Therapy, PC Clinic/Center · Glenview, IL · NPI 1720533367

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
070025896	IL	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Little Steps Pediatric Physical Therapy, PC		Past since Jun 6, 2021	Accepting new patients
Little Steps Pediatric Physical Therapy PC		Past since Jun 6, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	070025896	IL	Yes

Addresses

Primary practice location

41 Waukegan Rd
Glenview, IL 60025-5154

Mailing address

41 Waukegan Rd
Glenview, IL 60025-5154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2021.

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1114593258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255154",
            "telephone_number": "847-707-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDRUD",
        "first_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

All providers in Glenview, IL · Physical Therapist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.