Organization Active NPI

Des Moines Sports Institute

  • Physical Therapist
  • Norwalk, IA
National Provider Identifier
1538021811
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DES MOINES SPORTS INSTITUTE
Practice address
250 Delaware St Ste 120
Norwalk, IA 50211-8916
Phone
(641) 417-9910
NPI assigned
Nov 25, 2025
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Andrew Broderick, DPTNPI 1265071872
Title
Physical Therapist
Phone
(641) 417-9910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

250 Delaware St Ste 120
Norwalk, IA 50211-8916

Mailing address

5120 Harding St
Prole, IA 50229-9182
Phone (641) 417-9910

National Provider Directory

National Provider Directory

Locations

250 Delaware St
Ste 120
Norwalk, IA 50211
Phone (641) 417-9910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1538021811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 HARDING ST",
            "city": "PROLE",
            "state": "IA",
            "postal_code": "502299182",
            "telephone_number": "641-417-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DELAWARE ST STE 120",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502118916",
            "telephone_number": "641-417-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES SPORTS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "641-417-9910",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.