Active NPI
Jane Marie Pedersen, PT
- Pediatric Physical Therapist
- Durham, NC
National Provider Identifier
1154371516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4397
- Practice address
- 3000 Erwin Rd
Durham, NC 27705-4504 - Phone
- (919) 698-2149
- NPI assigned
- May 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4397 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 4397 | NC | |
| Pediatric Physical Therapist | 2251P0200X | 4397 | NC | Primary |
Addresses
Primary practice location
3000 Erwin Rd
Durham, NC 27705-4504
Mailing address
308 Hassellwood Dr
Cary, NC 27518-3013
Phone (919) 606-3086
Other practice location 1
1829 E Franklin St Ste 600
Chapel Hill, NC 27514-5863
Phone (919) 968-3456
Other practice location 2
107 Edinburgh South Dr
Ste 100a
Cary, NC 27511-6455
Phone (919) 319-3649
Other practice location 3
308 Hassellwood Dr
Cary, NC 27518
Phone (919) 606-3086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017P | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051118000411 | NC | Practitioner - Physical Therapist in Private Practice | 5890714869 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehabilitation 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.
-
- Speech-Language Pathologist
- Chapel Hill, NC
- NPI 1760477715
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1154371516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 HASSELLWOOD DR",
"city": "CARY",
"state": "NC",
"postal_code": "275183013",
"telephone_number": "919-606-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054504",
"telephone_number": "919-698-2149"
}
],
"practiceLocations": [
{
"address_1": "1829 E Franklin St Ste 600",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275145863",
"country_code": "US",
"telephone_number": "919-968-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 EDINBURGH SOUTH DR",
"address_2": "STE 100A",
"address_purpose": "LOCATION",
"city": "CARY",
"state": "NC",
"postal_code": "275116455",
"country_code": "US",
"telephone_number": "919-319-3649",
"fax_number": "919-319-3651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "308 Hassellwood Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "27518",
"country_code": "US",
"telephone_number": "919-606-3086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDERSEN",
"first_name": "JANE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4397",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "4397",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "4397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1017P",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.