RYAN PEDERSON (ATC, LAT) – Athletic Trainer, NPI 1568637742

RYAN PEDERSON (ATC, LAT) is a healthcare provider. based in Clermont, Florida. specializing in Athletic Trainer. They hold the professional credentials ATC, LAT. They hold a License No. AL 1539 (FL). The NPI Number for RYAN PEDERSON (ATC, LAT) is 1568637742

Main info

Male
Sole Proprietor
Name
RYAN PEDERSON (ATC, LAT)
NPI
1568637742
Phone
(352) 242-2080
Address
13322 EXCALIBUR RD
Enumeration Date
28 April 2008
Last Update Date
28 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for RYAN PEDERSON (ATC, LAT)

  • Excalibur Road, Clermont, Lake County, Florida, 34711-6788, United States

    CLERMONT, FL 347116695

    Phone: (352) 242-2080

    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.

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Medicare Enrollment & Revalidation

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

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

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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 34711)

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Frequently asked questions

Can I cross-check RYAN PEDERSON (ATC, LAT) using NPI 1568637742?
NPI 1568637742 belongs to RYAN PEDERSON (ATC, LAT); compare other details if you need extra assurance.
Is RYAN PEDERSON (ATC, LAT) shown as active in public data?
Registry records indicate RYAN PEDERSON (ATC, LAT) maintains an active NPI.
What kind of doctor is RYAN PEDERSON (ATC, LAT)?
RYAN PEDERSON (ATC, LAT) is associated with Athletic Trainer in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RYAN PEDERSON (ATC, LAT)?
Directory geography for RYAN PEDERSON (ATC, LAT) centers on Clermont, Florida.
Does RYAN PEDERSON (ATC, LAT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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