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

Individual provider Physical Therapist · NPI 1023534849

Jacqueline Pedersen is a Physical Therapist in Private Practice in Willow Grove, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Willow Grove Physical Therapy LLC, a 22-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

1003 Easton Rd
Willow Grove, PA 19090-2027
Phone: (215) 659-7759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 N York Rd, Hatboro, PA 19040-3149 — (215) 412-2501

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1023534849
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESMarch 17, 2018
Mailing address64 Saratoga Way, Harleysville, PA 19438-2980

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Willow Grove Physical Therapy Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Willow Grove