JORDAN PEDERSEN PT
NPI 1679906028
Physical Therapist in Ogdensburg, NY

Active since August 20, 2013
214 KING STREET, OGDENSBURG, NY 13669(315) 713-5660(315) 393-0055 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Aug 16, 2022 (2 updates tracked since 2022).

About Jordan Pedersen Pt NPPES

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

JORDAN PEDERSEN PT (NPI 1679906028) is an individual physical therapist in Ogdensburg, New York, licensed in New York (036832) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1679906028
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJORDAN PEDERSENCredential: PT
Location Address214 KING STREETOgdensburg, NY 13669
Mailing Address214 King StreetOgdensburg, NY 13669 · (315) 713-5660 · Fax (315) 393-0055
Fax(315) 393-0055
Sole ProprietorNo
Enumeration DateAugust 20, 2013
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1679906028 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
License Licensed in NY · 036832
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.
214 KING STREET, Ogdensburg, NY 13669

Other Identifiers 1

Medicaid07254382NY

Other Providers at the Same Location NPPES 15

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

Nurse Anesthetist, Certified Registered
214 KING STREET
OGDENSBURG, NY 13669
Specialist
214 KING STREET
OGDENSBURG, NY 13669
Anesthesiology
214 KING STREET
OGDENSBURG, NY 13669
Occupational Therapist
214 KING STREET
OGDENSBURG, NY 13669
Physician Assistant
214 KING STREET
OGDENSBURG, NY 13669
Social Worker
214 KING STREET
OGDENSBURG, NY 13669
Physical Therapy Assistant
214 KING STREET
OGDENSBURG, NY 13669
Nurse Practitioner (Family)
214 KING STREET
OGDENSBURG, NY 13669

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 Jordan Pedersen's NPI number?

The NPI number for Jordan Pedersen is 1679906028. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Jordan Pedersen located?

Jordan Pedersen practices at 214 King Street, Ogdensburg, NY 13669. The listed phone number is (315) 713-5660.

What is Jordan Pedersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Pedersen was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.