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

Justin Pedersen, DPT

Individual provider Physical Therapist · NPI 1760252670

Justin Pedersen, DPT is a Physical Therapist in Private Practice in Holland, Michigan. Qualified in 2023, 3 years ago. Practices with Fox Rehabilitation Services Mi LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

437 Butternut Dr
Holland, MI 49424-1577
Phone: (616) 355-3055
Fax: (616) 317-5269
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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 5501303026 (MI)

Record details

NPI number1760252670
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing addressPo Box 412031, Boston, MA 02241-2031

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehabilitation Services Mi Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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