Individual provider Active NPI

Jon Raymond Lueth, PT

  • Orthopedic Physical Therapist
  • Iowa City, IA
National Provider Identifier
1437778040
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
03602 Issued in IA
Practice address
2701 Prairie Meadow Dr
Iowa City, IA 52242-8001
Phone
(319) 467-8220
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 03602 IA Primary

Addresses

Primary practice location

2701 Prairie Meadow Dr
Iowa City, IA 52242-8001

Mailing address

6812 Deer Horn TRL NE
Cedar Rapids, IA 52411-7795
Phone (319) 331-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03602IAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa PastSince Apr 19, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1437778040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 DEER HORN TRL NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524117795",
            "telephone_number": "319-331-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PRAIRIE MEADOW DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522428001",
            "telephone_number": "319-467-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETH",
        "first_name": "JON",
        "middle_name": "RAYMOND",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IA",
            "license": "03602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.