Anna Pedersen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12087 Issued in MN

Practice address

471 S Arch Ave
New Richmond, WI 54017-1832

Phone

(715) 246-3809

NPI assigned

Nov 2, 2020

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 MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904
  Medicare reassignment Care Compare group NPD
• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment Care Compare group
• Resilience Physical Therapy

  • Physical Therapist
  • Minneapolis, MN
  • NPI 1609744002
  NPD Authorized official
• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1063897593
  NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1740881283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GRAND AVE APT 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053408",
            "telephone_number": "651-387-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "ANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onward Pediatric Therapy, LLC
• Julie Ann Paleen Aronow, MFT
• Melissa Pankonin, PHARMD.
• Park Nicollet Health Care Products
• Madelyn Sara Pearson, D.D.S.
• Philippine Dana Dawn Peralta, MD
• Todd Dennis Petersen, CRNA
• Jennifer Peterson
• Lori Jean Peterson, NP
• Nicholas Ronald Peterson, MS, LPC-IT

• Physical Therapist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.