Individual provider Active NPI

Jared David Brostad, P.T.

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1831181890
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03540 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Aug 16, 2005
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 03540 IA Primary

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

710 E 1st St Ste A
Ankeny, IA 50021-2128
Phone (515) 247-8400

Other identifiers 1

IdentifierTypeStateIssuer
I7658OtherIAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050409000090 IA Practitioner - Physical Therapist in Private Practice 7517904733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians

Practice addresses (Care Compare)

710 E 1St St
Suite a
Ankeny, IA 50021-2128
Phone (515) 247-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Physical Therapist CurrentSince Mar 16, 2019 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince May 1, 2011 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince May 1, 2011 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Central Iowa Physio, LLC CurrentSince Mar 16, 2019 Accepting new patients
Eastern Iowa Therapeutics PC Physical Therapist Past Accepting new patients
Therapy Services of Iowa Inc Physical Therapist Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients
Iowa Orthopaedic Center, P.C. PastSince Feb 1, 2025 Accepting new patients

Locations

710 E 1st St
Ste A
Ankeny, IA 50021

450 Laurel St
Des Moines, IA 50314
Phone (515) 323-6485

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

2166 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 395-6000

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1831181890",
    "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": "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": "BROSTAD",
        "first_name": "JARED",
        "middle_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "I7658",
            "state": "IA"
        }
    ],
    "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 Jan 10, 2025; 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.

Verify at the official NPI Registry.