Madison Marie Pedersen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026129 Issued in PA

Practice address

5930 6TH Ave Ste 1
Altoona, PA 16602-1115

Phone

(814) 515-1049

NPI assigned

Oct 24, 2023

Sex

Female

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

George Ferris Neurohope Center , LLCGroup PAC ID 7618300138, 5 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.

• George Ferris Neurohope Center , LLC

  • Neurorehabilitation Occupational Therapist
  • Altoona, PA
  • NPI 1508417601
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1689446643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 6TH AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021115",
            "telephone_number": "814-515-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 6TH AVE STE 1",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021115",
            "telephone_number": "814-515-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "MADISON",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corie Paulin
• Edward J Pavlosky Jr., CRNA
• Pawan K Gupta MD LLC
• David Pawlikowski, CRNA
• Silvino P Pazcoguin, M.D.
• Pediatric Healthcare Associates
• Michael Pedone
• Michelle Victoria Pellegrino, CRNP
• Lindsey A Penezic, MD
• Penn Neuromuscular Diagnostics, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.