Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVY R PEDERSEN, PT
ActiveIVY R PEDERSEN, PT is a Physical Therapy Assistant healthcare provider located in FRUITA, Colorado. NPI 1598073637 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FRUITA, CO
Registration Details
- NPI Number
- 1598073637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2010 (15.846397714656 yrs)
- Last Updated
- May 30, 2023
- Licenses
-
412 (AK)297956 (CA)31008 (AZ)6531 (ID)16627 (CO)
Practice Information
- Address
-
300 W OTTLEY AVEFRUITA, CO, 815212118Browse CO providers · Browse ZIP 81521
- Phone
- 9708582147
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FRUITA, CO
| Name | Credential | NPI |
|---|---|---|
| MRS. JANICE K GIFFORD | PT | 1043256332 |
| JASON D MULLANEY | M.S., P.T. | 1699784199 |
| MRS. ANOUK J KINCAID | PT | 1174692461 |
| JOHN DANIEL WEIRATH | PT | 1295959260 |
| MR. BRANDON M KISER | PT, DPT | 1780953992 |
| CASEY LEVIN | — | 1861838591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.