Individual provider Active NPI

Jacqueline Ann Aanestad, PT

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1104879840
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03018 Issued in IA
Practice address
1454 30TH Street
Suite 103
West Des Moines, IA 50266-1312
Phone
(515) 223-6620
Fax
(515) 223-9625
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03018 IA Primary

Addresses

Primary practice location

1454 30TH Street
Suite 103
West Des Moines, IA 50266-1312

Mailing address

1454 30TH Street
Suite 103
West Des Moines, IA 50266-1312
Phone (515) 223-6620

Other names 1

  • Miss Jacqueline Ann Gerdts Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
03018IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Associates, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104879840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 30TH STREET",
            "address_2": "SUITE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661312",
            "telephone_number": "515-223-6620",
            "fax_number": "515-223-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 30TH STREET",
            "address_2": "SUITE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661312",
            "telephone_number": "515-223-6620",
            "fax_number": "515-223-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AANESTAD",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GERDTS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.