Kai H Pedersen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010933L Issued in PA

Practice address

600 E Penn Ave
Wernersville, PA 19565-1622

Phone

(610) 451-5982

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Mountain Physical Therapy LLCGroup PAC ID 4981771631, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Mountain Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sinking Spring, PA
  • NPI 1932374113
  Medicare reassignment Care Compare group NPD Authorized official
• Plumb Line Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Douglassville, PA
  • NPI 1477831030

  Physical Therapist

  NPD
• Aquabilities, Inc.

  • Physical Therapy Clinic/Center
  • Birdsboro, PA
  • NPI 1851456123

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1487612487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651622",
            "telephone_number": "610-451-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E PENN AVE",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651622",
            "telephone_number": "610-451-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "KAI",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010933L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesseca Mogel
• Margaret Anne Molets, MSW(LCSW)
• Moira Molloy, CRNP
• Phyllis A Murr, M.D.
• Susan Lynn Painton, SLP
• Angelina Marie Pelletier, PSYD
• Pennsylvania Department of Human Services
• Patrice Penrose
• Phoebe Berks Health Care Center Inc
• Phoebe Corporate & Community Based Services

• Physical Therapist in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.