Individual provider Active NPI

Katherine Ann Rush, PT

  • Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1417449844
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
116747 Issued in MO
Practice address
100 NE Tudor Rd Ste 105
Lees Summit, MO 64086-5600
Phone
(816) 607-3747
Fax
(816) 607-3590
NPI assigned
Jun 1, 2018
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 116747 MO Primary

Addresses

Primary practice location

100 NE Tudor Rd Ste 105
Lees Summit, MO 64086-5600

Mailing address

100 NE Tudor Rd Ste 105
Lees Summit, MO 64086-5600
Phone (816) 607-3747

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 816-607-3590 Direct
CONNECT URL krush@theperfectpelvis.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011001795 MO Practitioner - Physical Therapist in Private Practice 3678928652 Reassigns benefits to 1 organization
Practice locations: Lees Summit, MO

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perfect Pelvis, LLCGroup PAC ID 8123473105, 2 clinicians

Practice addresses (Care Compare)

100 NE Tudor Rd
Suite 105
Lees Summit, MO 64086-5600
Phone (816) 607-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116747MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Pelvis, LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

100 NE Tudor Rd
Ste 105
Lees Summit, MO 64086
Phone (816) 607-3747

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1417449844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE TUDOR RD STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865600",
            "telephone_number": "816-607-3747",
            "fax_number": "816-607-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE TUDOR RD STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865600",
            "telephone_number": "816-607-3747",
            "fax_number": "816-607-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "116747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "816-607-3590",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 NE Tudor Rd Ste 105",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640865600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "krush@theperfectpelvis.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 NE Tudor Rd Ste 105",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640865600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.