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

Jordan Pedersen, PT

Individual provider Physical Therapist · NPI 1679906028

Jordan Pedersen, PT is a Physical Therapist in Ogdensburg, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

214 King St
Ogdensburg, NY 13669
Phone: (315) 713-5660
Fax: (315) 393-0055
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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 036832 (NY)

Record details

NPI number1679906028
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 20, 2013
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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