Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Barry J Pederson, DPTCSCS

Individual provider Physical Therapist · NPI 1659578417

Barry J Pederson, DPTCSCS is a Physical Therapist in Grand Rapids, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2007.

Licensed in
MN, WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1542 Golf Course Rd Ste 104
Grand Rapids, MN 55744-3555
Phone: (218) 326-3300
Fax: (218) 326-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7925 (MN)
Physical Therapist Taxonomy 225100000X · Licence 10875-024 (WI)

Record details

NPI number1659578417
Entity typeIndividual (Type 1)
GenderMale
Credentials DPTCSCS
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESSeptember 5, 2008

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