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

Mr. Jon David Pedersen Jr.

Individual provider Athletic Trainer · NPI 1568177129

Mr. Jon David Pedersen Jr. is an Athletic Trainer in Storrs, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2023

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

2098 Hillside Rd
Storrs, CT 06286
Phone: (203) 980-1516

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 001900 (CT)

Record details

NPI number1568177129
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJuly 17, 2025
Certification dateJuly 7, 2025
Mailing address8 Erico Dr, East Haven, CT 06512-1091

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