Mr. Timothy S Pedersen, MS, PT
Physical Therapist in Fairhaven, Massachusetts
1114004231- Practice location
- 17 Sarahs Way, Fairhaven, MA 02719-3161
- Phone
- 508-991-2918
- Fax
- 508-994-3068
- Last updated
- September 8, 2011
Timothy S Pedersen is a Physical Therapist based in Fairhaven, MA. Timothy S Pedersen practices in Fairhaven, MA and has the professional credentials of MS, PT. The NPI Number for Timothy S Pedersen is 1114004231 and holds a License No. 8305 (MA). The current practice location address for Timothy S Pedersen is 17 Sarahs Way, Fairhaven, MA 02719-3161 and can be reached out via phone at 508-991-2918 and via fax at 508-994-3068.
Provider Profile Details
- NPI Number
- 1114004231
- Provider Name
- Timothy S Pedersen
- Credential
- MS, PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Sarahs Way, Fairhaven, MA 02719-3161
- Phone Number
- 508-991-2918
- Fax Number
- 508-994-3068
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- September 8, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Sarahs Way
Fairhaven, MA 02719-3161 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-3161
- Phone Number
- 508-991-2918
- Fax Number
- 508-994-3068
Provider Business Mailing Address Details
- Address
- 17 Sarahs Way
Fairhaven, MA 02719-3161 - City
- Fairhaven
- State
- MA
- Zip
- 02719-3161
- Phone Number
- 508-991-2918
- Fax Number
- 508-994-3068
License Information
- License Number (1)
- 8305
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- PT01872
- License State (2)
- RI
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Timothy S Pedersen, MS, PT?
The NPI number of Mr. Timothy S Pedersen, MS, PT is 1114004231. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Timothy S Pedersen, MS, PT?
Mr. Timothy S Pedersen, MS, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 8305.
Where does Mr. Timothy S Pedersen, MS, PT practice?
The practice location is 17 Sarahs Way, Fairhaven, MA 02719-3161. The office can be reached at 508-991-2918 (phone) or 508-994-3068 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114004231 directly on the NPPES registry website.