Individual provider Active NPI

Andrew Lose, PT, DPT, ATC

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1083164271
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
135817 Issued in IA
Practice address
3620 Edgewood Rd SW Ste 300
Cedar Rapids, IA 52404-7205
Phone
(319) 363-2901
Fax
(319) 363-2903
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 135817 IA Primary

Addresses

Primary practice location

3620 Edgewood Rd SW Ste 300
Cedar Rapids, IA 52404-7205

Mailing address

3290 Ridgeway Dr Ste 3
Coralville, IA 52241-2023
Phone (319) 665-2630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113003821 IA Practitioner - Physical Therapist in Private Practice 8820359722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Therapies, PCGroup PAC ID 1254226095, 17 clinicians

Practice addresses (Care Compare)

3620 Edgewood Rd SW
Suite 300
Cedar Rapids, IA 52404-7205
Phone (319) 363-2901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135817IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Therapies, PC Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients

Locations

3620 Edgewood Rd SW
Ste 300
Cedar Rapids, IA 52404
Phone (319) 363-2901

3290 Ridgeway Dr
Ste 3
Coralville, IA 52241
Phone (319) 625-3030

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1083164271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 RIDGEWAY DR STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412023",
            "telephone_number": "319-665-2630",
            "fax_number": "319-665-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 EDGEWOOD RD SW STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047205",
            "telephone_number": "319-363-2901",
            "fax_number": "319-363-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSE",
        "first_name": "ANDREW",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "135817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.