Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irina Nicole Gottman, PT

Individual provider Physical Therapist · NPI 1588409783

Irina Nicole Gottman, PT is a Physical Therapist in Private Practice in Palmyra, Missouri. Qualified in 2024, 2 years ago. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1219 S Main St
Palmyra, MO 63461-1943
Phone: (573) 769-6166
Fax: (573) 769-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2024025363 (MO)

Record details

NPI number1588409783
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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