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

Naga Rumicho, ATC

Individual provider Athletic Trainer · NPI 1033592472

Naga Rumicho, ATC is a Physical Therapist in Private Practice in Coon Rapids, Minnesota. Qualified in 2021, 5 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2104 Northdale Blvd NW
Coon Rapids, MN 55433-3028
Phone: (612) 644-5501
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 12288 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence 2621 (MN)

Record details

NPI number1033592472
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address3301 5th Ave S, Minneapolis, MN 55408-3250

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coon Rapids