Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN PEDERSEN, PT
ActiveJORDAN PEDERSEN, PT is a Physical Therapy Assistant healthcare provider located in OGDENSBURG, New York. NPI 1679906028 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OGDENSBURG, NY
Registration Details
- NPI Number
- 1679906028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2013 (12.803726374601 yrs)
- Last Updated
- Oct 20, 2022
- License
-
036832 (NY)
Practice Information
- Address
-
214 KING STREETOGDENSBURG, NY, 13669Browse NY providers · Browse ZIP 13669
- Phone
- 3157135660
- Fax
- 3153930055
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OGDENSBURG, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. JEANINE RUTH MCLELLAN | PT | 1942301635 |
| HOLLY LOUISE SHELLENBERGER | MPT | 1376644021 |
| MR. KEVIN ANDREW MOORE | MPT | 1245437011 |
| MR. JEREMY M. WARCHOL | PT | 1659551778 |
| DR. ERICA ZALUSKI DURANT | PT | 1629236096 |
| MA JOCELYN WALKER | PT | 1376706119 |
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.