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

Brian Pedersen, PT

Individual provider Physical Therapist · NPI 1285922146

Brian Pedersen, PT is a Physical Therapist in Private Practice in Skokie, Illinois. Qualified in 2011, 15 years ago. Practices with Illinois Luna Care Physical Therapy LLC, a 129-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4607 Golf Rd
Skokie, IL 60076-1209
Phone: (847) 673-5073
Fax: (847) 673-2475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-018515 (IL)

Record details

NPI number1285922146
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 13, 2011
Last updated in NPPESJuly 13, 2011
Mailing address4607 Golf Rd, Skokie, IL 60076-1209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Illinois Luna Care Physical Therapy Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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