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

Jonathan Pederson, ATC

Individual provider Athletic Trainer · NPI 1104261288

Jonathan Pederson, ATC is an Athletic Trainer in Ankeny, Iowa. Licensed in Iowa. Registered with an NPI since 2013.

Licensed in
IA
In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

301 N Ankeny Blvd
Ankeny, IA 50023-1730
Phone: (515) 965-1422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 001110 (IA)

Record details

NPI number1104261288
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESMay 3, 2013
Mailing address3032 Sw Arlan Ln, Ankeny, IA 50023-6827

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