MR. GEORGE PEDERSEN (M.P.T.) – Physical Therapist, NPI 1982771580

MR. GEORGE PEDERSEN (M.P.T.) is a healthcare provider. based in Enumclaw, Washington. specializing in Physical Therapist. They hold the professional credentials M.P.T.. The NPI Number for MR. GEORGE PEDERSEN (M.P.T.) is 1982771580

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. GEORGE PEDERSEN (M.P.T.)
NPI
1982771580
Phone
(360) 825-1540
Address
553 ROOSEVELT AVE
Enumeration Date
29 November 2006
Last Update Date
29 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608251540
Graduation Year
1992 (34 years ago)
PAC ID
4880592807
Group Practice PAC ID
2668619644
Professional Enrollment ID
I20101105000219
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MR. GEORGE PEDERSEN (M.P.T.)

  • 553, Roosevelt Avenue, Enumclaw, King County, Washington, 98022, United States

    SUITE 101

    ENUMCLAW, WA 980222990

    Phone: (360) 825-1540

    Fax: (360) 825-7434

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98022)

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Provider's Procedures

MR. GEORGE PEDERSEN (M.P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97001Physical therapy evaluation2118
PHYSICAL THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes49123
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes24219

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: 2668619644View full group profile
NameSpecialtyState
-WA

Reviews

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Frequently asked questions

Can I cross-check MR. GEORGE PEDERSEN (M.P.T.) using NPI 1982771580?
NPI 1982771580 belongs to MR. GEORGE PEDERSEN (M.P.T.); compare other details if you need extra assurance.
Is there an active status for MR. GEORGE PEDERSEN (M.P.T.)?
For scheduling context, MR. GEORGE PEDERSEN (M.P.T.) is shown as active in the registry.
What clinical focus is listed for MR. GEORGE PEDERSEN (M.P.T.)?
At a glance, MR. GEORGE PEDERSEN (M.P.T.) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. GEORGE PEDERSEN (M.P.T.)?
Travel planning: use Enumclaw, Washington as the reference point for MR. GEORGE PEDERSEN (M.P.T.), then confirm.
When was this NPI issued?
Enumeration for MR. GEORGE PEDERSEN (M.P.T.) is noted as November 29, 2006 where the registry provides it.

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