Individual provider Active NPI

Mariah Jimmerson, PT, DPT

  • Orthopedic Physical Therapist
  • Iowa City, IA
National Provider Identifier
1033949110
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
126870 Issued in IA
Practice address
314 S Madison St
Iowa City, IA 52240-3841
Phone
(319) 248-0373
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 126870 IA Primary

Addresses

Primary practice location

314 S Madison St
Iowa City, IA 52240-3841

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905001252 IA Practitioner - Physical Therapist in Private Practice 6901346923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

314 S Madison St
Athletico Physical Therapy
Iowa City, IA 52240-3841
Phone (319) 248-0373

3998 Westdale Pkwy SW
Suite 300
Cedar Rapids, IA 52404-9201
Phone (319) 396-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD CurrentSince Mar 9, 2026 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Athletico LTD Orthopedic CurrentSince Mar 9, 2026 Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 2, 2024 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Aug 2, 2024 Accepting new patients

Locations

3998 Westdale Pkwy SW
Ste 300
Cedar Rapids, IA 52404
Phone (319) 396-0222

2166 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 395-6000

314 S Madison St
Iowa City, IA 52240
Phone (319) 248-0373

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

Organizations & group practices 5

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1033949110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S MADISON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403841",
            "telephone_number": "319-248-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMERSON",
        "first_name": "MARIAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "126870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.