Jacqueline Pedersen
NPI 1023534849ActiveIndividual· Physical Therapist· Willow Grove, PA
Physical Therapist with Willow Grove Physical Therapy LLC, practicing in Willow Grove, Pennsylvania. Medicare paid $71,527 for services to 151 patients in 2024.
Overview
| NPI | 1023534849 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 15, 2017 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 3,602 across 11 procedure codes |
| Paid by Medicare | $71,527 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Willow Grove Physical Therapy LLCWillow Grove, PA · 24 clinicians
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All 61 physical therapists in Willow Grove · All physical therapists in Pennsylvania