Active NPI 1730142639 Individual Practitioner Male Practitioner

John Mitrovic , PT SCS ATC CSCS

Physical Therapist • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

John Mitrovic, PT SCS ATC CSCS is a registered healthcare professional specializing in Physical Therapist in Williamsburg, VA. Practice services are available at 4125 IRONBOUND RD STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4125 Ironbound Rd Ste 100

Williamsburg, VA 231882666

Telephone 7572208383

Fax 7572537833

Associated Practice Facility / Clinic

🏢 Tidewater Physical Therapy, Llc Facility NPI 1033138094

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Williamsburg, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.0 Yrs

State Avg: 14.9 Yrs

Regional Practice Density

87 Specialists

Practicing in Williamsburg, VA (6959 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97530 Therapy procedure using functional activities	1,241	124	$80.00	$29.64
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	526	94	$60.00	$21.31
97140 Therapy procedure using manual technique, each 15 minutes	435	81	$65.00	$19.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	213	66	$70.00	$24.08
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	189	43	$45.00	$8.38
97016 Application of blood vessel compression device	61	24	$50.00	$8.50
97162 Evaluation for physical therapy, typically 30 minutes	32	32	$165.00	$97.47
97161 Evaluation of physical therapy, typically 20 minutes	23	23	$165.00	$97.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,059	116	$60.00	$21.59
97530 Therapy procedure using functional activities	1,258	111	$80.00	$33.34
97140 Therapy procedure using manual technique, each 15 minutes	850	97	$65.00	$20.27
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	334	58	$45.00	$8.86
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	286	41	$70.00	$24.85
97016 Application of blood vessel compression device	113	17	$50.00	$8.50
97161 Evaluation of physical therapy, typically 20 minutes	51	49	$165.00	$99.49
97035 Application of ultrasound, each 15 minutes	35	12	$45.00	$10.36
97162 Evaluation for physical therapy, typically 30 minutes	17	17	$165.00	$99.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,336	137	$60.00	$22.09
97530 Therapy procedure using functional activities	1,278	124	$80.00	$34.07
97140 Therapy procedure using manual technique, each 15 minutes	971	110	$65.00	$20.70
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	613	66	$45.00	$9.05
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	156	28	$70.00	$25.47
97035 Application of ultrasound, each 15 minutes	128	24	$45.00	$10.62
97161 Evaluation of physical therapy, typically 20 minutes	85	81	$165.00	$98.92
97016 Application of blood vessel compression device	68	17	$50.00	$8.65
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$165.00	$101.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,362	146	$60.00	$23.49
97530 Therapy procedure using functional activities	1,417	134	$80.00	$36.91
97140 Therapy procedure using manual technique, each 15 minutes	1,063	122	$65.00	$21.84
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	674	83	$45.00	$9.89
97016 Application of blood vessel compression device	198	27	$50.00	$9.37
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	195	37	$70.00	$27.36
97035 Application of ultrasound, each 15 minutes	178	32	$45.00	$11.11
97161 Evaluation of physical therapy, typically 20 minutes	83	79	$165.00	$101.48
97162 Evaluation for physical therapy, typically 30 minutes	21	20	$165.00	$101.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,823	164	$60.00	$24.03
97530 Therapy procedure using functional activities	1,125	158	$80.00	$38.69
97140 Therapy procedure using manual technique, each 15 minutes	910	128	$65.00	$22.38
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	769	100	$45.00	$10.33
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	228	51	$70.00	$27.50
97035 Application of ultrasound, each 15 minutes	179	47	$45.00	$11.23
97016 Application of blood vessel compression device	176	26	$50.00	$9.64
97161 Evaluation of physical therapy, typically 20 minutes	52	50	$165.00	$86.89
97162 Evaluation for physical therapy, typically 30 minutes	34	30	$165.00	$86.81
97163 Evaluation for physical therapy, typically 45 minutes	11	11	$165.00	$81.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,458	281	$44.98	$23.83
97530 Therapy procedure using functional activities	2,048	274	$45.00	$38.42
97140 Therapy procedure using manual technique, each 15 minutes	1,804	237	$45.00	$21.78
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,232	135	$32.00	$10.39
97035 Application of ultrasound, each 15 minutes	645	78	$30.00	$10.75
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	375	80	$40.00	$27.74
97016 Application of blood vessel compression device	349	56	$37.00	$9.67
97113 Therapy procedure using water pool to exercises, each 15 minutes	251	30	$55.00	$30.07
97022 Application of whirlpool therapy	128	16	$32.00	$12.12
97116 Walking training to 1 or more areas, each 15 minutes	69	14	$36.00	$23.52
97161 Evaluation of physical therapy, typically 20 minutes	58	57	$125.00	$83.12
97162 Evaluation for physical therapy, typically 30 minutes	54	48	$125.00	$84.49
97012 Application of mechanical traction to 1 or more areas	53	15	$32.00	$11.99
97163 Evaluation for physical therapy, typically 45 minutes	23	21	$125.00	$81.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,225	244	$45.00	$23.64
97530 Therapy procedure using functional activities	1,895	219	$45.00	$38.82
97140 Therapy procedure using manual technique, each 15 minutes	1,758	204	$45.00	$21.47
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,353	143	$32.00	$10.61
97035 Application of ultrasound, each 15 minutes	524	79	$30.00	$10.48
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	408	80	$40.00	$27.18
97016 Application of blood vessel compression device	335	42	$37.00	$11.24
97113 Therapy procedure using water pool to exercises, each 15 minutes	291	18	$55.00	$31.94
97022 Application of whirlpool therapy	125	15	$32.00	$11.95
97012 Application of mechanical traction to 1 or more areas	76	18	$32.00	$11.98
97161 Evaluation of physical therapy, typically 20 minutes	55	51	$125.00	$83.60
97162 Evaluation for physical therapy, typically 30 minutes	45	44	$125.00	$83.60
97163 Evaluation for physical therapy, typically 45 minutes	19	19	$125.00	$80.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,279	221	$45.00	$24.64
97140 Therapy procedure using manual technique, each 15 minutes	1,808	185	$45.00	$22.65
97530 Therapy procedure using functional activities	1,795	203	$45.00	$33.85
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,257	138	$32.00	$10.14
97035 Application of ultrasound, each 15 minutes	517	77	$30.00	$10.15
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	394	85	$40.00	$27.13
97016 Application of blood vessel compression device	283	31	$37.00	$12.89
97022 Application of whirlpool therapy	135	12	$32.00	$19.00
97750 Test or measurement for functional capacity, each 15 minutes	111	68	$65.00	$25.01
97113 Therapy procedure using water pool to exercises, each 15 minutes	93	11	$55.00	$34.02
97012 Application of mechanical traction to 1 or more areas	64	18	$32.00	$12.62
97162 Evaluation for physical therapy, typically 30 minutes	47	47	$125.00	$80.12
97161 Evaluation of physical therapy, typically 20 minutes	37	37	$125.00	$80.08
97163 Evaluation for physical therapy, typically 45 minutes	26	25	$125.00	$80.20

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License VA 2305003424

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8928649 (VA)

Commercial Insurance / Payer ID Bcbs Physical Therapy

192935 (VA)

Commercial Insurance / Payer ID Aetna

4460951

Commercial Insurance / Payer ID Railroad Medicare

650003973 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

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Dr. Nikolas Dimitry , DPT

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Dr. Alicia Johnson , DPT

Physical Therapist

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Doctor of Physical Therapy

Dr. Kristina Carter , PT, DPT, CMTPT

Physical Therapist

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Physical Therapist, Doctor of Physical Therapy, CMTPT

Dr. Joseph Flannery , DPT

Physical Therapist

NPI 1356303861

Doctor of Physical Therapy

Dr. Joanna Kokolis , PT, DPT

Physical Therapist

NPI 1407934359

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 27, 2018

Registered at 4125 IRONBOUND RD STE 100, WILLIAMSBURG, VA 231882666 (Tel: 7572208383)

📍

Updated Business Mailing Address April 27, 2018

Registered at PO BOX 69030, BALTIMORE, MD 212649030 (Tel: 7578732302)

✅

NPI Profile Active September 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2015

Registered at 4125 IRONBOUND ROAD, STE 100, WILLIAMSBURG, VA 23188 (Tel: 7572208383)

📍

Updated Business Mailing Address September 16, 2015

Registered at 771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 236061990 (Tel: 7578732302)

👤

Provider Name / Credentials Updated September 16, 2015

Recorded as JOHN MITROVIC, PT SCS ATC CSCS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2015

Physical Therapist (License #2305003424 in VA)

🟢

Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730142639

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2006

Last Update: April 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 69030

Baltimore, MD 212649030

Phone: 7578732302

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.