Barry J Pederson, DPT CSCS - Physical Therapist in Grand Rapids, MN

Barry J Pederson, DPT CSCS is a Physical Therapist based in Grand Rapids, Minnesota. Barry J Pederson is licensed to practice in Minnesota (license number 7925) and his current practice location is 1542 Golf Course Rd, Suite 104, Grand Rapids, Minnesota. He can be reached at his office (for appointments etc.) via phone at (218) 326-3300.

NPI number for Barry J Pederson is 1659578417 and his current mailing address is 1542 Golf Course Rd, Suite 104, Grand Rapids, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659578417.

Contact Information

Barry J Pederson, DPT CSCS
1542 Golf Course Rd, Suite 104,
Grand Rapids, MN 55744-3555
(218) 326-3300
(218) 326-3400

Map and Direction




Healthcare Provider's Profile

Full NameBarry J Pederson
GenderMale
SpecialityPhysical Therapist
Location1542 Golf Course Rd, Grand Rapids, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659578417
  • Provider Enumeration Date: 06/27/2007
  • Last Update Date: 09/05/2008

Medical Identifiers

Medical identifiers for Barry J Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659578417NPI-NPPES
36139200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 10875-024 (Wisconsin)Secondary
225100000XPhysical Therapist 7925 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Barry J Pederson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Barry J Pederson, DPT CSCS
1542 Golf Course Rd, Suite 104,
Grand Rapids, MN 55744-3555

Ph: (218) 326-3300
Barry J Pederson, DPT CSCS
1542 Golf Course Rd, Suite 104,
Grand Rapids, MN 55744-3555

Ph: (218) 326-3300

Reviews and Comments


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Phone: 218-326-3300    Fax: 218-326-3400
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Practice Location: 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744
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