| Katelyn Kush, DPT | |
|
3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 | |
| (574) 647-2930 | |
| Not Available |
| Full Name | Katelyn Kush |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3221 Beacon Pkwy Ste 100, Granger, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194349555 | NPI | - | NPPES |
| 300039529 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05013618A (Indiana) | Primary |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
| Provider Name | Beacon Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386154821 PECOS PAC ID: 1254690530 Enrollment ID: O20180111002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Kush, DPT 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129 | Katelyn Kush, DPT 3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 Ph: (574) 647-2930 |
Mrs. Payal Koul-kumar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12655 State Road 23, Granger, IN 46530 Phone: 574-343-6427 | |
Beacon Medical Group, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3221 Beacon Parkway, Suite B, Granger, IN 46530 Phone: 574-647-1700 Fax: 574-291-3351 | |
Brett L Buda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Mr. Randall Glenn Brooks, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Emilia M Kareem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935 | |
Megan Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-5790 Fax: 574-647-5792 |