MARIAH JIMMERSON (PT, DPT) – Orthopedic Physical Therapist, NPI 1033949110

MARIAH JIMMERSON (PT, DPT) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 126870 (IA). The NPI Number for MARIAH JIMMERSON (PT, DPT) is 1033949110

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH JIMMERSON (PT, DPT)
NPI
1033949110
Phone
(319) 396-0222
Address
3998 WESTDALE PKWY SW STE 300
Enumeration Date
5 August 2024
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193960222
Graduation Year
2024 (2 years ago)
PAC ID
6901346923
Group Practice PAC ID
3577470442
Professional Enrollment ID
I20240905001252
Address ID
IA524049201CE3998XSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for MARIAH JIMMERSON (PT, DPT)

  • 3998 WESTDALE PKWY SW STE 300

    CEDAR RAPIDS, IA 524049201

    Phone: (319) 396-0222

    Type: Mailing

  • 2166 Blairs Ferry Rd

    Hiawatha, IA 522337902

    Phone: (319) 395-6000

    Type: Location

  • 2122 YORK RD STE 300

    OAK BROOK, IL 605231925

    Phone:

    Type: Mailing

  • 314 S MADISON ST

    IOWA CITY, IA 522403841

    Phone: (319) 248-0373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240905001252IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577470442View full group profile

Reviews

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Frequently asked questions

How do I look up MARIAH JIMMERSON (PT, DPT) by NPI?
Use NPI 1033949110 when you need to reference MARIAH JIMMERSON (PT, DPT) in forms, claims, or directories.
Is MARIAH JIMMERSON (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARIAH JIMMERSON (PT, DPT) treat or focus on?
Patients typically see MARIAH JIMMERSON (PT, DPT) under the specialty Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MARIAH JIMMERSON (PT, DPT)?
We surface Cedar Rapids, Iowa for MARIAH JIMMERSON (PT, DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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