Nicole Marie Calvert, ATC/LAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000944 Issued in IA

Practice address

2109 Cedarwood Dr Ste 100
Muscatine, IA 52761-2670

Phone

(563) 288-6787

NPI assigned

Feb 11, 2022

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679227268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CEDARWOOD DR STE 100",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612670",
            "telephone_number": "563-288-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "ATC/LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "000944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED STRENGTH AND CONDITIONING SPECIALIST (NSCA)",
            "identifier": "200938505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IOWA DEPT OF PUBLIC HEALTH",
            "identifier": "000944",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
            "identifier": "2000001771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan R Brown, DPT
• Cora Burn, DPT
• Cynthia M Burr, ARNP
• Calamity Rose Ranch LLC
• Calamity Rose Ranch LLC
• Caregiver Management Systems, Inc. (All-American Care of Muscatine)
• Carelink Transportation, LLC
• Kayla Lea Carlsten, PMHNP
• Carstens Chiropractic LLC
• Jason R Carstens, D.C.

• Athletic Trainer in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Athletic Trainer in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.