PEDERSEN OUTPATIENT PHYSICAL THERAPY
NPI 1104040856
Clinic/Center - Physical Therapy in Enumclaw, WA

Active since April 12, 2007
1110 STEVENSON AVE, SUITE 100, ENUMCLAW, WA 98022(360) 825-7411(360) 825-7434 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pedersen Outpatient Physical Therapy NPPES

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

PEDERSEN OUTPATIENT PHYSICAL THERAPY (NPI 1104040856) is a healthcare organization registered as a physical therapy in Enumclaw, Washington and active in the NPI registry since April 2007. The organization lists George Pedersen, Therapist, as its authorized official.

NPPES Registry Identity

NPI1104040856
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePEDERSEN OUTPATIENT PHYSICAL THERAPY
Location Address1110 STEVENSON AVE, SUITE 100Enumclaw, WA 98022-2647
Mailing Address1110 Stevenson Ave, Suite 100Enumclaw, WA 98022-2647 · (360) 825-7411 · Fax (360) 825-7434
Fax(360) 825-7434
Organization SubpartNo
Authorized OfficialGeorge PedersenTherapist · (360) 825-7411
Enumeration DateApril 12, 2007
Last NPPES UpdateMarch 7, 2008
NPI 1104040856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1110 STEVENSON AVE, Enumclaw, WA 98022

Other Identifiers 1

Medicare PINGAB20955WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1110 STEVENSON AVE, SUITE 202
ENUMCLAW, WA 98022
Psychologist (Clinical)
1110 STEVENSON AVE, SUITE 206
ENUMCLAW, WA 98022
Massage Therapist
1110 STEVENSON AVE, SUITE 203
ENUMCLAW, WA 98022

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 Pedersen Outpatient Physical Therapy's NPI number?

The NPI number for Pedersen Outpatient Physical Therapy is 1104040856. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Pedersen Outpatient Physical Therapy located?

Pedersen Outpatient Physical Therapy is located at 1110 Stevenson Ave Suite 100, Enumclaw, WA 98022. The listed phone number is (360) 825-7411.

What is Pedersen Outpatient Physical Therapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Pedersen Outpatient Physical Therapy was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.