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CARLY P PEDERSON ATC/R
NPI 1417394297
Specialist/Technologist - Athletic Trainer in Elk River, MN

Active since June 03, 2013
18929 149TH ST NW, ELK RIVER, MN 55330(612) 518-7270 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly P Pederson Atc/r NPPES

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

CARLY P PEDERSON ATC/R (NPI 1417394297) is an individual athletic trainer provider in Elk River, Minnesota, licensed in Minnesota (2433) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1417394297
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCARLY P PEDERSONCredential: ATC/R
Location Address18929 149TH ST NWElk River, MN 55330-8362
Mailing Address516 15th Ave Se, Room 190Minneapolis, MN 55455-0130 · (612) 518-7270
Phone(612) 518-7270
Sole ProprietorNo
Enumeration DateJune 3, 2013
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1417394297 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 MN · 2433
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.
18929 149TH ST NW, Elk River, MN 55330
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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 Carly Pederson's NPI number?

The NPI number for Carly Pederson is 1417394297. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Carly Pederson located?

Carly Pederson practices at 18929 149th St NW, Elk River, MN 55330. The listed phone number is (612) 518-7270.

What is Carly 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 Carly Pederson was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.