MR. TIMOTHY S PEDERSEN (NPI# 1114004231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114004231 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY S PEDERSEN |
| Credential | MS, PT |
| Practice Address |
17 Sarahs Way Fairhaven MA 02719-3161 |
| Practice Telephone | 5089912918 |
| Practice Fax Number | 5089943068 |
| Mailing Telephone | 5089912918 |
| Mailing Fax Number | 5089943068 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT01872 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 8305 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110088219A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851810014 | Timothy Pedersen | Counselor | 6609 Blanco Rd Ste 365, San Antonio, TX 78216-6171 | 2017-09-19 |
| Street Address |
17 SARAHS WAY |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101193 | Synergy Healthcare Corp | Clinic/Center | 17 Sarahs Way, Fairhaven, MA 02719-3161 | 2012-03-12 |
| 1669743019 | Synergy Healthcare Corporation | Physical Therapist | 17 Sarahs Way, Fairhaven, MA 02719-3161 | 2012-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1295741353 | Deidre B Hart | Physical Therapist | 147b Washington St, Fairhaven, MA 02719-4013 | 2006-07-31 |
| 1558886978 | Brian Palmer | Physical Therapist | 184 Main St, Fairhaven, MA 02719-3259 | 2017-08-07 |
| 1083076533 | Lilibeth Almerol Dayao | Physical Therapist | 200 Mill Rd, Fairhaven, MA 02719-5252 | 2016-03-23 |
| 1124388640 | Anick Bernier | Physical Therapist | 270 Huttleston Ave, Fairhaven, MA 02719-1605 | 2012-05-17 |
| 1669743019 | Synergy Healthcare Corporation | Physical Therapist | 17 Sarahs Way, Fairhaven, MA 02719-3161 | 2012-01-17 |
| 1740409010 | Jennifer Robin Gilbert | Physical Therapist | 389 Alden Rd, Fairhaven, MA 02719-4451 | 2007-04-25 |
| 1205915238 | Nicole Ellis Niemiec | Physical Therapist | 270 Huttleston Ave, Fairhaven, MA 02719-1605 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1215538269 | Jolene Potter | Physical Therapist | 32 Prospect St, Cambridge, MA 02139-2401 | 2020-11-05 |
| 1184224040 | Robert Alan Mcardle | Physical Therapist | Madonna Manor Skilled Nursing Facility, 85 N Washington St, N Attleboro, MA 02760-6258 | 2020-10-29 |
| 1437758166 | Lauryn O'keefe | Physical Therapist | 579 Grafton St, Shrewsbury, MA 01545-4016 | 2020-10-23 |
| 1538768510 | Adrienne Gail Bachand | Physical Therapist | 57 Main St Ste 4, Sturbridge, MA 01566-1283 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1538768809 | Sharon Amaral | Physical Therapist | 37 Discovery Hill Rd, E Sandwich, MA 02537-1303 | 2020-10-19 |
| 1962000414 | Abhisha Patel | Physical Therapist | 5341 Timberview Way, Marlborough, MA 01752-2576 | 2020-10-15 |
| 1710584586 | Gabriela Gonzales Castillo | Physical Therapist | 200 Trotter Rd Apt 431, South Weymouth, MA 02190-3823 | 2020-10-05 |
| 1770180788 | Madalsa Harshith Somaya | Physical Therapist | 35 Queensberry St Apt 19, Boston, MA 02215-5026 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.