Jonathan Pederson, ATC
NPI 1104261288 · Athletic Trainer · Ankeny, IA
Jonathan Pederson, ATC is a Athletic Trainer provider in Ankeny, IA (NPI 1104261288).
Provider details
- NPI number
- 1104261288
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 001110 (IA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-03
- Last updated
- 2013-05-03
Frequently asked questions
- What is Jonathan Pederson's NPI number?
- Jonathan Pederson's National Provider Identifier (NPI) is 1104261288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Pederson's specialty?
- Jonathan Pederson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jonathan Pederson located?
- Jonathan Pederson's practice location on file with NPPES is 301 N Ankeny Blvd, Ankeny, IA 50023-1730.
- What is Jonathan Pederson's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Pederson is (515) 965-1422.
- Is Jonathan Pederson's NPI active?
- Yes — Jonathan Pederson's NPI (1104261288) is active in the NPPES registry as of the last update on 2013-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.