MR. JON DAVID PEDERSEN JR.
NPI 1568177129
Specialist/Technologist - Athletic Trainer in Storrs, CT

Q: What is Jon Pedersen's NPI number?

The NPI number for Jon Pedersen is 1568177129. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Q: What is Jon Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Pedersen was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 18, 2023

2098 HILLSIDE ROAD, STORRS, CT 06286(203) 980-1516 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jon David Pedersen Jr. NPPES

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

MR. JON DAVID PEDERSEN JR. (NPI 1568177129) is an individual athletic trainer provider in Storrs, Connecticut, licensed in Connecticut (001900) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1568177129

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JON DAVID PEDERSEN JR.

Location Address2098 HILLSIDE ROADStorrs, CT 06286

Mailing Address8 Erico DrEast Haven, CT 06512-1091 · (230) 980-1516

Phone(203) 980-1516

Sole ProprietorYes

Enumeration DateJanuary 18, 2023

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 7, 2025

✔ NPI 1568177129 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 CT · 001900

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.

2098 HILLSIDE ROAD, Storrs, CT 06286

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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 Jon Pedersen's NPI number?

The NPI number for Jon Pedersen is 1568177129. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Jon Pedersen located?

Jon Pedersen practices at 2098 Hillside Road, Storrs, CT 06286. The listed phone number is (203) 980-1516.

What is Jon Pedersen'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 Jon Pedersen was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.