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

Jesse Christian Pedersen

Individual provider Physical Therapist · NPI 1174249908

Jesse Christian Pedersen is a Physical Therapist in Private Practice in Monroe, New Jersey. Qualified in 2022, 4 years ago. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

57 Lowr Matchaponix Ave
Monroe, NJ 08831-1443
Phone: (732) 570-8598
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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 40QA02132700 (NJ)

Record details

NPI number1174249908
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address57 Lower Matchaponix Ave, Monroe, NJ 08831-1443

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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