Individual provider Active NPI

Nicole Gravino-Dunn, DPT

  • Physical Therapist
  • Parkville, MO
National Provider Identifier
1053788539
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05138 Issued in KS
Practice address
6264 Lewis Dr Ste 100
Parkville, MO 64152-3603
Phone
(816) 587-8001
NPI assigned
Aug 31, 2015
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2015029975 MO
Physical Therapist 225100000X 11-05138 KS Primary

Addresses

Primary practice location

6264 Lewis Dr Ste 100
Parkville, MO 64152-3603

Mailing address

6264 Lewis Dr Ste 100
Parkville, MO 64152-3603
Phone (816) 587-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160413001384 KS Practitioner - Physical Therapist in Private Practice 1456659150 Reassigns benefits to 3 organizations
I20190709001199 MO Practitioner - Physical Therapist in Private Practice 1456659150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

141 S Parker St
Olathe, KS 66061-4043
Phone (913) 538-5453

210 N 7 Hwy
Athletico Physical Therapy
Blue Springs, MO 64014-2727
Phone (816) 655-2460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05138KSMDPhysical Therapist
2015029975MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Feb 1, 2016 Accepting new patients
Core Strategies Physical Therapy, PA CurrentSince Aug 28, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Core Strategies PastSince Aug 28, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

10400 W 103rd St
Ste 22
Overland Park, KS 66214
Phone (913) 322-4000

210 N 7 Hwy
Blue Springs, MO 64014
Phone (816) 655-2460

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

6264 Lewis Dr
Ste 100
Parkville, MO 64152
Phone (816) 587-8001

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Organizations & group practices 7

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1053788539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR STE 100",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523603",
            "telephone_number": "816-587-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 LEWIS DR STE 100",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523603",
            "telephone_number": "816-587-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVINO-DUNN",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015029975",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.