Active NPI
Kevin Rust
- Physical Therapist
- Walnut Creek, CA
National Provider Identifier
1881573194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303247
- Practice address
- 1777 Botelho Dr
Walnut Creek, CA 94596-5086 - Phone
- (925) 934-3536
- NPI assigned
- Aug 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303247 | CA | Primary |
Addresses
Primary practice location
1777 Botelho Dr
Walnut Creek, CA 94596-5086
Mailing address
3418 Black Hawk Rd
Lafayette, CA 94549-2327
Phone (707) 479-3877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303247 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1881573194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 BLACK HAWK RD",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945492327",
"telephone_number": "707-479-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 BOTELHO DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965086",
"telephone_number": "925-934-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.