Individual provider Active NPI

Nicole Naraine, PT, MS, DPT

  • Physical Therapist
  • Kalona, IA
National Provider Identifier
1720809569
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004665 Issued in IA
Practice address
811 3Rd St
Kalona, IA 52247-9436
Phone
(319) 656-2421
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004665 IA Primary

Addresses

Primary practice location

811 3Rd St
Kalona, IA 52247-9436

Mailing address

4319 NW Urbandale Dr
Urbandale, IA 50322-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114002627 IA Practitioner - Physical Therapist in Private Practice 0941734826 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004665IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital CurrentSince Feb 1, 2025 Accepting new patients
Washington County Hospital CurrentSince Feb 1, 2025 Accepting new patients
Blue Stone Therapy Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

811 3rd St
Kalona, IA 52247
Phone (319) 656-2421

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

4319 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 875-9470

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1720809569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 NW URBANDALE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 3RD ST",
            "city": "KALONA",
            "state": "IA",
            "postal_code": "522479436",
            "telephone_number": "319-656-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAINE",
        "first_name": "NICOLE",
        "credential": "PT, MS, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.