Individual provider Active NPI

Katherine Ruebush

  • Physical Therapist
  • Carthage, IL
National Provider Identifier
1992469522
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.020071 Issued in IL
Practice address
630 Locust St
Carthage, IL 62321-1459
Phone
(217) 354-6560
Fax
(217) 357-6561
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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 070.020071 IL Primary

Addresses

Primary practice location

630 Locust St
Carthage, IL 62321-1459

Mailing address

1060 Teton Rd
Colchester, IL 62326-1611
Phone (309) 221-9888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228001409 IL Practitioner - Physical Therapist in Private Practice 3274927702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians
Advance Physical Therapy of Hancock County LLCGroup PAC ID 8729056783, 3 clinicians

Practice addresses (Care Compare)

110 E Market St
Colchester, IL 62326-1271
Phone (217) 357-2173

1452 N County Rd 2050
Carthage, IL 62321-3551
Phone (217) 357-9000

1454 N Co Rd 2050
PO Box 160
Carthage, IL 62321-0160

1454 N County Rd
Suite 2050
Carthage, IL 62321-0160
Phone (217) 357-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.020071ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Memorial Hospital Association Current Accepting new patients
Memorial Hospital Association CurrentSince Nov 16, 2021 Accepting new patients
Memorial Hospital Association CurrentSince Nov 16, 2021 Accepting new patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

630 Locust St
Carthage, IL 62321
Phone (217) 357-2173

Interoperability endpoints

  • Direct secure messaging: kruebush815789@direct.unitypoint.org

Organizations & group practices 5

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1992469522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 TETON RD",
            "city": "COLCHESTER",
            "state": "IL",
            "postal_code": "623261611",
            "telephone_number": "309-221-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LOCUST ST",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211459",
            "telephone_number": "217-354-6560",
            "fax_number": "217-357-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEBUSH",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.