BRIAN PEDERSEN (NPI# 1285922146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285922146 |
| Entity Type | Individual |
| Full Name | BRIAN PEDERSEN |
| Credential | PT |
| Practice Address |
4607 Golf Rd Skokie IL 60076-1209 |
| Practice Telephone | 8476735073 |
| Practice Fax Number | 8476732475 |
| Mailing Telephone | 8476735073 |
| Mailing Fax Number | 8476732475 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070-018515 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790913770 | Brian Allen Pedersen | Internal Medicine | 9500 Gilman Dr Dept 656, La Jolla, CA 92093-0656 | 2009-06-29 |
| Street Address |
4607 GOLF RD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891955001 | Athletico Ltd | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2008-06-11 |
| 1992369862 | Erica L Hansen | Occupational Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2019-04-26 |
| 1457831653 | Adil D Patel | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076 | 2018-08-16 |
| 1700302080 | Emmanuel Y Pera | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2017-08-17 |
| 1043667801 | Demetrios Nikoloulis | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2016-05-20 |
| 1861856650 | Jared Koenig | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2016-04-08 |
| 1821466285 | Elizabeth R Baldwin | Occupational Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2015-09-02 |
| 1386046217 | Jenny Bernieri | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2014-09-23 |
| 1366790115 | Vanessa A Hart | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2012-08-28 |
| 1316295165 | Tai A Whitlow | Physical Therapist | 4607 Golf Rd, Skokie, IL 60076-1209 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| 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 |
|---|---|---|---|---|
| 1285231829 | Raymund Laurence Garcia | Physical Therapist | 9026 La Crosse Ave Apt 2a, Skokie, IL 60077-1740 | 2020-10-07 |
| 1700340718 | Erasore | Physical Therapist | 8719 E Prairie Rd, Skokie, IL 60076-2326 | 2019-01-23 |
| 1033684030 | Donna Nicdao Tia | Physical Therapist | 8950 Bronx Ave Apt 1a, Skokie, IL 60077-1919 | 2018-10-05 |
| 1609378942 | Jizelle Aika Dimalanta | Physical Therapist | 8232 Niles Center Rd Apt 306, Skokie, IL 60077-2593 | 2018-03-02 |
| 1760908776 | Michele Penaflorida | Physical Therapist | 7531 Frontage Rd, Skokie, IL 60077-3224 | 2017-08-22 |
| 1699295683 | Therapy Plus Health Solutions Inc | Physical Therapist | 9711 Skokie Blvd Ste F, Skokie, IL 60077-1384 | 2017-06-21 |
| 1538608880 | Rukhmini Pandit | Physical Therapist | 5252 Dempster St, Skokie, IL 60077 | 2017-02-20 |
| 1134664022 | Jessa May Kajin | Physical Therapist | 8930 Bronx Ave, Skokie, IL 60077-1912 | 2016-12-30 |
| 1912370180 | Seth Omes | Physical Therapist | 7505 Laramie Ave, Skokie, IL 60077-3346 | 2015-11-09 |
| 1881081735 | Monica Brace | Physical Therapist | 5015 Estes, Skokie, IL 60077 | 2015-04-17 |
| Find all providers in SKOKIE | ||||
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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.