Nicole Durga, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015905 Issued in MI

Practice address

247 Luce St SW
Grand Rapids, MI 49534-9607

Phone

(616) 644-9155

Fax

(616) 333-4946

NPI assigned

Nov 18, 2025

Last updated

Nov 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitality at HomeGroup PAC ID 5395175186, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vitality at Home

  • Geriatric Physical Therapist
  • Grand Rapids, MI
  • NPI 1235777442
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1447111737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 ATWATER HILLS DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259322",
            "telephone_number": "616-644-9155",
            "fax_number": "616-333-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 LUCE ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495349607",
            "telephone_number": "616-644-9155",
            "fax_number": "616-333-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGA",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durell Wellness PLLC (Acupuncture of West Michigan)
• Stephen Michael Durell, R.AC
• Bailey Denise Elaine Duren
• Izabel Durey
• Andrew Durfee
• Durham & Mehling DDS PC
• Matthew P. Durham, D.D.S.
• Todd D. Durham, M.D.
• Emily T Durkin, M.D.
• Luke Thomas Durling, MD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.