1. Home
  2. Directory
  3. Iowa
  4. Ankeny
  5. Specialist Technologist
  6. NPI Profile

JONATHAN PEDERSON ATC
NPI 1104261288
Specialist/Technologist - Athletic Trainer in Ankeny, IA

Active since May 03, 2013
301 N ANKENY BLVD, ANKENY, IA 50023(515) 965-1422 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Pederson Atc NPPES

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

JONATHAN PEDERSON ATC (NPI 1104261288) is an individual athletic trainer provider in Ankeny, Iowa, licensed in Iowa (001110) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1104261288
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJONATHAN PEDERSONCredential: ATC
Location Address301 N ANKENY BLVDAnkeny, IA 50023-1730
Mailing Address3032 Sw Arlan LnAnkeny, IA 50023-6827
Phone(515) 965-1422
Sole ProprietorNo
Enumeration DateMay 3, 2013
✔ NPI 1104261288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IA · 001110
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
301 N ANKENY BLVD, Ankeny, IA 50023
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

CARISSA DONNER DPT
Physical Therapist
301 N ANKENY BLVD
ANKENY, IA 50023
Polk County (515) 965-1422
LIFEWORKS COUNSELING AND EDUCATIONAL SERVICES INC
Social Worker
301 N ANKENY BLVD, SUITE 100
ANKENY, IA 50023
Polk County (515) 255-8399
MR. JOHN DANIEL FLAHERTY ATC
Specialist/Technologist (Athletic Trainer)
301 N ANKENY BLVD, SUITE 200
ANKENY, IA 50023
Polk County (515) 965-1422
ANKENY PHYSICAL & SPORTS THERAPY LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
301 N ANKENY BLVD
ANKENY, IA 50023
Polk County (515) 965-1422
MICHAEL R EDGINGTON PT, DPT
Physical Therapist
301 N ANKENY BLVD
ANKENY, IA 50023
Polk County (800) 974-4378
SHAWNA JOHANSEN LMHC
Counselor (Mental Health)
301 N ANKENY BLVD
ANKENY, IA 50023
Polk County (515) 639-0643
MONICA CHERIE METZGER DPT
Physical Therapist
301 N ANKENY BLVD, SUITE 200
ANKENY, IA 50023
Polk County (515) 965-1422
JAMIE JO LAIRD
Community Health Worker
301 N ANKENY BLVD
ANKENY, IA 50023
Polk County (515) 890-9427

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 Jonathan Pederson's NPI number?

The NPI number for Jonathan Pederson is 1104261288. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Jonathan Pederson located?

Jonathan Pederson practices at 301 N Ankeny Blvd, Ankeny, IA 50023. The listed phone number is (515) 965-1422.

What is Jonathan Pederson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jonathan Pederson was last updated on May 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.