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RYAN PEDERSON ATC, LAT
NPI 1568637742
Specialist/Technologist - Athletic Trainer in Clermont, FL

Active since April 28, 2008
13322 EXCALIBUR RD, CLERMONT, FL 34711(352) 242-2080 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ryan Pederson Atc, Lat NPPES

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

RYAN PEDERSON ATC, LAT (NPI 1568637742) is an individual athletic trainer provider in Clermont, Florida, licensed in Florida (AL 1539) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1568637742
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRYAN PEDERSONCredential: ATC, LAT
Location Address13322 EXCALIBUR RDClermont, FL 34711-6695
Mailing Address13322 Excalibur RdClermont, FL 34711-6695
Phone(352) 242-2080
Sole ProprietorYes
Enumeration DateApril 28, 2008
✔ NPI 1568637742 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 FL · AL 1539
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.
13322 EXCALIBUR RD, Clermont, FL 34711
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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 Ryan Pederson's NPI number?

The NPI number for Ryan Pederson is 1568637742. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Ryan Pederson located?

Ryan Pederson practices at 13322 Excalibur Rd, Clermont, FL 34711. The listed phone number is (352) 242-2080.

What is Ryan 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 Ryan Pederson was last updated on April 28, 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.