Individual provider Active NPI

Andrija Mijatovic

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1083570980
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1825 29TH St NE Ste C
Cedar Rapids, IA 52402-3452
Phone
(319) 632-6994
NPI assigned
Jan 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 Primary

Addresses

Primary practice location

1825 29TH St NE Ste C
Cedar Rapids, IA 52402-3452

Mailing address

850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218001938 IA Practitioner - Physical Therapist in Private Practice 2365922275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Clinic of Iowa, PC CurrentSince Feb 9, 2026 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Rock Valley Physical Therapy Center Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Feb 9, 2026 Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

1825 29th St NE
Ste C
Cedar Rapids, IA 52402
Phone (319) 362-6994

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

555 Cameron Way
Ste 1
North Liberty, IA 52317
Phone (319) 665-2555

850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 4

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": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1083570980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 29TH ST NE STE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023452",
            "telephone_number": "319-632-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJATOVIC",
        "first_name": "ANDRIJA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 5, 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.