Ashley Pederson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1961 Issued in ND

Practice address

210 Highway 2 W Ste 7
Devils Lake, ND 58301-2913

Phone

(701) 662-8448

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spirit Lake TribeGroup PAC ID 2466550801, 22 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spirit Lake Tribe

  dba Spirit Lake Health Center

  • Health Service Clinic/Center
  • Fort Totten, ND
  • NPI 1114472891

  TX

  Medicare reassignment Care Compare group NPD
• Brekhus Wellness, PLLC

  dba Prime Therapy and Wellness

  • Physical Therapist
  • Devils Lake, ND
  • NPI 1124633227
  Medicare reassignment NPD

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1548715550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 7",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 2 W STE 7",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012913",
            "telephone_number": "701-662-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1961",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ND",
            "license": "1961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Parks
• Katarina R Paulson, PEER SUPPORT
• Tamera Paulson
• Elaine Pavek
• Bryan Peach
• Reanne Pederson
• Steven L Pederson, DPT
• Daniel Baptiste Peltier
• Kristi Peterson, LCSW
• Zachary Peterson

• Physical Therapist in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.