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

Mrs. Katherine D Pederson, MPT, ATC

Individual provider Physical Therapist · NPI 1306973193

Mrs. Katherine D Pederson, MPT, ATC is a Physical Therapist in Private Practice in Palatine, Illinois. Qualified in 1996, 30 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Illinois.

Years since qualifying
30
Licensed in
FL, GA, IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

101 N Northwest Hwy
Palatine, IL 60067-5324
Phone: (847) 794-4528
Fax: (847) 794-4529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Meadow Rd, Northbrook, IL 60062-3678 — (847) 291-1079

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.013953 (IL)
Physical Therapist Taxonomy 225100000X · Licence PT14767 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT005749 (GA)

Record details

NPI number1306973193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT , ATC
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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