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STEPHEN PEDERSEN HIGH SCHOOL DIPLOMA
NPI 1043573124
Rehabilitation Practitioner in Las Vegas, NV

Active since June 22, 2012
4417 SANTA CLARITA AVE, LAS VEGAS, NV 89115(702) 420-5569(702) 943-0233 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Pedersen High School Diploma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN PEDERSEN HIGH SCHOOL DIPLOMA (NPI 1043573124) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1043573124
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameSTEPHEN PEDERSENCredential: HIGH SCHOOL DIPLOMA
Location Address4417 SANTA CLARITA AVELas Vegas, NV 89115-6003
Mailing Address4417 Santa Clarita AveLas Vegas, NV 89115 · (702) 420-5569 · Fax (702) 943-0233
Phone(702) 420-5569
Fax(702) 943-0233
Sole ProprietorYes
Enumeration DateJune 22, 2012
✔ NPI 1043573124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
4417 SANTA CLARITA AVE, Las Vegas, NV 89115
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Pedersen's NPI number?

The NPI number for Stephen Pedersen is 1043573124. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Stephen Pedersen located?

Stephen Pedersen practices at 4417 Santa Clarita Ave, Las Vegas, NV 89115. The listed phone number is (702) 420-5569.

What is Stephen Pedersen's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Stephen Pedersen was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.