Individual provider Active NPI

Katherine Rudenick

  • Physical Therapist
  • Bemidji, MN
National Provider Identifier
1730807843
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12811 Issued in MN
Practice address
3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485
Phone
(218) 441-5232
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 12811 MN Primary

Addresses

Primary practice location

3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485

Mailing address

3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485
Phone (218) 444-8280

Other practice location 1

50 Margaret Ave NE
Blackduck, MN 56630-4509
Phone (218) 835-3425

Other names 1

  • Katherine Hooper Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831003478 MN Practitioner - Physical Therapist in Private Practice 0547644080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Therapy, P.a.Group PAC ID 7618022930, 39 clinicians

Practice addresses (Care Compare)

50 Margaret Ave NE
Blackduck, MN 56630-4509
Phone (218) 835-3425

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as individual
Quality
84.49
Improvement activities
40
Cost
50.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Therapy, P.a. Physical Therapist CurrentSince Jun 30, 2022 Accepting new patients

Locations

118 Central St W
Bagley, MN 56621
Phone (218) 694-3030

3835 Supreme Ct NW
Ste 2
Bemidji, MN 56601
Phone (218) 441-5232

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1730807843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW STE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014485",
            "telephone_number": "218-444-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW STE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014485",
            "telephone_number": "218-441-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Margaret Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blackduck",
            "state": "MN",
            "postal_code": "566304509",
            "country_code": "US",
            "telephone_number": "218-835-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDENICK",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HOOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.