Individual provider Active NPI

Andrew Davis, DPT

  • Physical Therapist
  • Oelwein, IA
National Provider Identifier
1003767229
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
204 E Charles St
Oelwein, IA 50662-1940
Phone
(319) 283-2002
NPI assigned
Feb 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 IA Primary

Addresses

Primary practice location

204 E Charles St
Oelwein, IA 50662-1940

Mailing address

204 E Charles St
Oelwein, IA 50662-1940
Phone (319) 283-2002

Other practice location 1

1314 7th St Unit A
Jesup, IA 50648-1187
Phone (319) 827-3440

Other practice location 2

909 W 1st St
Sumner, IA 50674-1203
Phone (563) 578-2139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260522002797 IA Practitioner - Physical Therapist in Private Practice 6901376631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehab LLCGroup PAC ID 4486712619, 9 clinicians

Practice addresses (Care Compare)

204 E Charles St
Oelwein, IA 50662-1940
Phone (319) 283-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehab LLC Physical Therapist CurrentSince May 8, 2026 Accepting new patients

Locations

1314 7th St
Ste A
Jesup, IA 50648
Phone (319) 827-3440

204 E Charles St
Oelwein, IA 50662
Phone (319) 239-3777

Organizations & group practices 1

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": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1003767229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHARLES ST",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621940",
            "telephone_number": "319-283-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHARLES ST",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621940",
            "telephone_number": "319-283-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 7th St Unit A",
            "address_purpose": "LOCATION",
            "city": "Jesup",
            "state": "IA",
            "postal_code": "506481187",
            "country_code": "US",
            "telephone_number": "319-827-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Sumner",
            "state": "IA",
            "postal_code": "506741203",
            "country_code": "US",
            "telephone_number": "563-578-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.