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

Kalen Pedersen, PTA

Individual provider Physical Therapy Assistant · NPI 1538959523

Kalen Pedersen, PTA is a Physical Therapy Assistant in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2025.

Licensed in
AK
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

813 Lowr Mill Bay RD
Kodiak, AK 99615-7314
Phone: (907) 486-4499
Fax: (907) 486-8211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 124594 (AK)

Record details

NPI number1538959523
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address813 Lower Mill Bay Rd, Kodiak, AK 99615-7314

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