Active NPI
Nicole Gravino-Dunn, DPT
- Physical Therapist
- Parkville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-05138
- Practice address
- 6264 Lewis Dr Ste 100
Parkville, MO 64152-3603 - Phone
- (816) 587-8001
- NPI assigned
- Aug 31, 2015
- Last updated
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-05138 | KS | MD | Physical Therapist |
| 2015029975 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Core Strategies Physical Therapy, PA | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Core Strategies | Past | 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.
-
- Orthopedic Physical Therapist
- Overland Park, KS
- NPI 1174689236
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lansing, KS
- NPI 1104336338
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Mission, KS
- NPI 1831717370
-
- Physical Therapy Clinic/Center
- Overland Park, KS
- NPI 1841674033
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.