Active NPI
Nicholas Jagush, DPT
- Physical Therapist
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085961 | Other | IA | LICENSE |
| 070022544 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
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)
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics PC | Current | Accepting new patients | |
| Ora Orthopedics, PC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | 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.
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- NPI 1639159700
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.