Active NPI
Andrew Lose, PT, DPT, ATC
- Physical Therapist
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 135817
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 135817 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapies, PC | Physical Therapist | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Coralville, IA
- NPI 1831122837
Physical Therapist
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.