Jason W Pedersen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29714 Issued in MD

Practice address

1836 Greene Tree Rd
Pikesville, MD 21208-1381

Phone

(410) 486-9992

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.pedersen.p1@direct.udel.nextgenshare.com

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.

• University of Maryland Orthopaedic Associates P a

  • Pediatric Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1740235274
  Medicare reassignment NPD
• University of Maryland Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Laurel, MD
  • NPI 1649080714
  NPD
• Integrated Physical Therapy and Sports Medicine PLLC

  • Physical Therapist
  • Des Moines, IA
  • NPI 1083963037
  NPD (past)
• Q2 Health Clinics, LLC

  • Urgent Care Clinic/Center
  • Avon, OH
  • NPI 1063698165
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1144744152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33730 VIA SAN ANGELO DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113756",
            "telephone_number": "440-934-6135",
            "fax_number": "440-934-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 GREENE TREE RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081381",
            "telephone_number": "410-486-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Tulip St",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013157",
            "country_code": "US",
            "telephone_number": "303-485-4163",
            "fax_number": "303-485-4164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Linden St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093120",
            "country_code": "US",
            "telephone_number": "515-288-0569",
            "fax_number": "515-288-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087613",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016232",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Peery
• David J Penn, MD
• Perfect Minds Mental Health and Wellness
• Karen Ilene Perlstein, LCSW-C

• Physical Therapist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.