Active NPI
James Lavicky, DPT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1164054144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 137249
- Practice address
- 450 Laurel St Ste a
Des Moines, IA 50314-3045 - Phone
- (515) 247-8400
- Fax
- (515) 248-8888
- NPI assigned
- Feb 7, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 137249 | IA | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
450 Laurel St Ste a
Des Moines, IA 50314-3045
Mailing address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400
Other practice location 1
5300 NW 86th St Ste 800
Johnston, IA 50131-3163
Phone (515) 416-6113
Other practice location 2
710 E 1st St Ste A
Ankeny, IA 50021-2128
Phone (515) 247-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137249 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Orthopaedic Center, P.C. | Past | Accepting new patients | |
| Iowa Orthopaedic Center, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Des Moines, IA
- NPI 1669579785
-
- Orthopaedic Surgery Physician
- Johnston, IA
- NPI 1326637521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1164054144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 LAUREL ST STE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143045",
"telephone_number": "515-247-8400",
"fax_number": "515-248-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LAUREL ST STE A",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143045",
"telephone_number": "515-247-8400",
"fax_number": "515-248-8888"
}
],
"practiceLocations": [
{
"address_1": "5300 NW 86th St Ste 800",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501313163",
"country_code": "US",
"telephone_number": "515-416-6113",
"fax_number": "515-516-9507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 E 1st St Ste A",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500212128",
"country_code": "US",
"telephone_number": "515-247-8400",
"fax_number": "515-248-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVICKY",
"first_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-07",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "137249",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.