BARRY J PEDERSON DPT CSCS
NPI 1659578417
Physical Therapist in Grand Rapids, MN

Active since June 27, 2007
1542 GOLF COURSE RD, SUITE 104, GRAND RAPIDS, MN 55744(218) 326-3300(218) 326-3400 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry J Pederson Dpt Cscs NPPES

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

BARRY J PEDERSON DPT CSCS (NPI 1659578417) is an individual physical therapist in Grand Rapids, Minnesota, licensed in Minnesota (7925) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1659578417
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBARRY J PEDERSONCredential: DPT CSCS
Location Address1542 GOLF COURSE RD, SUITE 104Grand Rapids, MN 55744-3555
Mailing Address1542 Golf Course Rd, Suite 104Grand Rapids, MN 55744-3555 · (218) 326-3300 · Fax (218) 326-3400
Fax(218) 326-3400
Sole ProprietorNo
Enumeration DateJune 27, 2007
Last NPPES UpdateSeptember 5, 2008
NPI 1659578417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in MN · 7925 Licensed in WI · 10875-024
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1542 GOLF COURSE RD, Grand Rapids, MN 55744

Other Identifiers 1

Medicaid36139200WI

Accepted Insurance

Other Providers at the Same Location NPPES 18

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

Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Surgery
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Clinic/Center (Critical Access Hospital)
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Occupational Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Durable Medical Equipment & Medical Supplies
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Clinic/Center (Physical Therapy)
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Specialist
1542 GOLF COURSE RD, SUITE 202
GRAND RAPIDS, MN 55744
Clinic/Center (Ambulatory Surgical)
1542 GOLF COURSE RD, SUITE 105
GRAND RAPIDS, MN 55744

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 Barry Pederson's NPI number?

The NPI number for Barry Pederson is 1659578417. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Barry Pederson located?

Barry Pederson practices at 1542 Golf Course Rd Suite 104, Grand Rapids, MN 55744. The listed phone number is (218) 326-3300.

What is Barry Pederson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Barry Pederson accept?

Health plans from Medica list Barry Pederson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barry Pederson was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.