KELLEY NIEMAN – Physical Therapist, NPI 1184278970

KELLEY NIEMAN is a healthcare provider. based in Waterloo, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for KELLEY NIEMAN is 1184278970

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY NIEMAN
NPI
1184278970
Phone
Not provided
Address
352 E RIDGEWAY AVE
Enumeration Date
30 July 2019
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192333010
Graduation Year
2019 (7 years ago)
PAC ID
6901135599
Group Practice PAC ID
6800896838
Professional Enrollment ID
I20190906001841
Address ID
IA507025042WA352XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for KELLEY NIEMAN

  • 352, East Ridgeway Avenue, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507025042

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190906001841IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,78261$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes51038$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care47541$0
97535Training for self-care or home management, each 15 minutes28147$0
97162Evaluation for physical therapy, typically 30 minutes3230$0
View full utilization report →

Insurance plans in this area (ZIP 50702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800896838View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Is there an official ID for KELLEY NIEMAN in U.S. healthcare records?
The official identifier for KELLEY NIEMAN is NPI 1184278970.
Is KELLEY NIEMAN shown as active in public data?
Registry records indicate KELLEY NIEMAN maintains an active NPI.
What clinical focus is listed for KELLEY NIEMAN?
At a glance, KELLEY NIEMAN is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLEY NIEMAN?
Directory geography for KELLEY NIEMAN centers on Waterloo, Iowa.
Can I trust this NPI listing for KELLEY NIEMAN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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