Active NPI
Nathan Michael Fritz
- Physical Therapist
- Langley Afb, VA
National Provider Identifier
1952011280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 120752
- Practice address
- 77 Nealy Ave
Langley Afb, VA 23665-2040 - Phone
- (757) 764-6963
- NPI assigned
- Nov 28, 2022
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 097587 | IA | |
| Physical Therapist | 225100000X | 120752 | IA | Primary |
Addresses
Primary practice location
77 Nealy Ave
Langley Afb, VA 23665-2040
Mailing address
77 Nealy Ave
Langley Afb, VA 23665-2040
Phone (757) 764-6963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120752 | IA | MD | Physical Therapist |
| 097587 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapies, PC | Physical Therapist | Current | Accepting new patients |
| 2ND Street Clinic | Past | Accepting new patients | |
| Chip Physical Therapy LLC | Physical Therapist | Past | 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
762 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 294-6717
Organizations & group practices 3
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
-
- Family Nurse Practitioner
- Sigourney, IA
- NPI 1326215666
-
- Physical Therapist
- Sigourney, IA
- NPI 1982371753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1952011280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 NEALY AVE",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-764-6963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 NEALY AVE",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-764-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRITZ",
"first_name": "NATHAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-28",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "097587",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "120752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langley Afb, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.