Individual provider Active NPI

Nicholas Jagush, DPT

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1235587783
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
510 Valley View Dr
Moline, IL 61265-6133
Phone
(309) 762-3621
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 085961 IA
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

510 Valley View Dr
Moline, IL 61265-6133

Mailing address

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

Other practice location 1

5250 Competition Dr Ste 100
Bettendorf, IA 52722-8837
Phone (563) 322-0971

Other practice location 2

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 449-7004

Other identifiers 2

IdentifierTypeStateIssuer
085961OtherIALICENSE
070022544OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160901002663 IL Practitioner - Physical Therapist in Private Practice 8628364593 Reassigns benefits to 2 organizations
I20170220002575 IA Practitioner - Physical Therapist in Private Practice 8628364593 Reassigns benefits to 2 organizations

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
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

510 Valley View Dr
Moline, IL 61265-6133
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ora Orthopedics PC CurrentSince Sep 19, 2022 Accepting new patients
Ora Orthopedics, PC CurrentSince Sep 19, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 22, 2016 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 22, 2016 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

5250 Competition Dr
Ste 100
Bettendorf, IA 52722
Phone (563) 449-7000

3252 Ridge Pt
Bettendorf, IA 52722
Phone (563) 332-4995

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

2918 E University Ave
Des Moines, IA 50317
Phone (515) 265-8272

503 Westbury Dr
Ste 3
Iowa City, IA 52245
Phone (319) 337-4325

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

685 Avenue of the Cities
Ste 101
Silvis, IL 61282
Phone (309) 792-3860

985 Avenue of the Cities
Ste 105
Silvis, IL 61282
Phone (309) 762-3621

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1235587783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656133",
            "telephone_number": "309-762-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Competition Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527228837",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6101 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528061861",
            "country_code": "US",
            "telephone_number": "563-449-7004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGUSH",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "085961",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "085961",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070022544",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.