Active NPI
Jennifer Joan Lundberg, PT
- Physical Therapist
- West Des Moines, IA
National Provider Identifier
1922088707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03717
- Practice address
- 4875 Mills Civic Pkwy
West Des Moines, IA 50265-5268 - Phone
- (515) 440-6700
- Fax
- (515) 440-6715
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03717 | IA | Primary |
Addresses
Primary practice location
4875 Mills Civic Pkwy
West Des Moines, IA 50265-5268
Mailing address
15931 Hammontree Dr
Urbandale, IA 50323-2260
Phone (515) 987-1428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38977 | Other | IA | BLUE CROSS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Therapy, Inc | Physical Therapist | 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.
-
- Physical Therapist
- West Des Moines, IA
- NPI 1467539924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922088707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15931 HAMMONTREE DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503232260",
"telephone_number": "515-987-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 MILLS CIVIC PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502655268",
"telephone_number": "515-440-6700",
"fax_number": "515-440-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "JENNIFER",
"middle_name": "JOAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "38977",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}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.