Carrie Ella Gracey, PT
Individual provider Active NPI Physical Therapist · Belle Plaine, IA
NPI 1104110410 · NPPES record last updated Mar 14, 2016
Key facts
- NPI
- 1104110410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004679 (IA)
- Practice address
- 509 13TH St
Ste B
Belle Plaine, IA 52208-1521 - Phone
- (319) 434-6150
- Fax
- (319) 434-6188
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
3252 Ridge PT
Bettendorf, IA 52722-5312
Phone (563) 332-4995
779 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 248-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111031000158 | IA | Practitioner - Physical Therapist in Private Practice | 8527231984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004679 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Performance Therapies, PC | Physical Therapist | Past |
Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
509 13th St
Ste B
Belle Plaine, IA 52208
Phone (319) 434-6150
3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995
2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004679 | IA | Yes |
Addresses
Primary practice location
509 13TH St
Ste B
Belle Plaine, IA 52208-1521
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1932
Other names
- Carrie Ella Woline
Other providers in Belle Plaine, IA
- Care Initiatives
- Michelle Danker
- Eastern Iowa Therapeutics PC
- Angela Fults
- Tawnya Rene Gardener
- Hartig Drug Co Corp
- Iowa Physicians Clinic Medical Foundation
- Tad Louis Jacobi
- Tara Lee Kannas
- Kingdom Dental Care
All providers in Belle Plaine, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.