Individual provider Active NPI

Andrea Susanne Low, DPT

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1992159131
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087862 Issued in IA
Practice address
101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736
Phone
(319) 200-6102
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13431 WI
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 087862 IA Primary

Addresses

Primary practice location

101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736

Mailing address

101 3Rd Ave SW Ste 102
Cedar Rapids, IA 52404-5736
Phone (319) 200-6102

Other practice location 1

3111 Gundersen Dr
Onalaska, WI 54650-8447
Phone (608) 775-8100

Other names 1

  • Andrea Susanne Weber Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719003531 IA Practitioner - Physical Therapist in Private Practice 1052689866 Reassigns benefits to 1 organization

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
Kepros Physical Therapy and Performance PCGroup PAC ID 7719105063, 19 clinicians

Practice addresses (Care Compare)

218 4TH Ave SW
Cedar Rapids, IA 52404-5720
Phone (319) 200-6102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kepros Physical Therapy and Performance, P.C. Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients

Locations

101 3rd Ave SW
Ste 102
Cedar Rapids, IA 52404
Phone (319) 200-6102

218 4th Ave SW
Cedar Rapids, IA 52404
Phone (319) 200-6102

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1992159131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736",
            "telephone_number": "319-200-6102",
            "fax_number": "319-200-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 3RD AVE SW STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045736",
            "telephone_number": "319-200-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Gundersen Dr",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546508447",
            "country_code": "US",
            "telephone_number": "608-775-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOW",
        "first_name": "ANDREA",
        "middle_name": "SUSANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13431",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WEBER",
            "middle_name": "SUSANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 15, 2019; 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.