KAI H PEDERSEN (PT) – Physical Therapist, NPI 1487612487

KAI H PEDERSEN (PT) is a healthcare provider. based in Wernersville, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT010933L (PA). The NPI Number for KAI H PEDERSEN (PT) is 1487612487

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KAI H PEDERSEN (PT)
NPI
1487612487
Phone
(610) 451-5982
Address
600 E PENN AVE
Enumeration Date
2 May 2006
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109275183
Graduation Year
1997 (29 years ago)
PAC ID
2062457500
Group Practice PAC ID
4981771631
Professional Enrollment ID
I20050624000190
Address ID
PA196089672SI4740XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for KAI H PEDERSEN (PT)

  • East Penn Avenue, Wernersville, Berks County, Pennsylvania, 19565, United States

    WERNERSVILLE, PA 195651622

    Phone: (610) 451-5982

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050624000190IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,378104$0
97140Therapy procedure using manual technique, each 15 minutes35278$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes6612$0
97161Evaluation for physical therapy, typically 20 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 19565)

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Provider's Procedures

KAI H PEDERSEN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97001Physical therapy evaluation9185
PHYSICAL THERAPYPA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1703132

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981771631View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationPA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeWV
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What is the registry number for KAI H PEDERSEN (PT)?
The registry entry for KAI H PEDERSEN (PT) shows NPI 1487612487.
Is KAI H PEDERSEN (PT)'s NPI status active today?
Active status means KAI H PEDERSEN (PT)'s NPI record is not deactivated in the public file.
What type of care does KAI H PEDERSEN (PT) provide?
KAI H PEDERSEN (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KAI H PEDERSEN (PT)?
KAI H PEDERSEN (PT) is associated with Wernersville, Pennsylvania in the same public data insurers reference.
Can I export KAI H PEDERSEN (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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