Jesse Christian Pedersen
NPI 1174249908ActiveIndividual· Physical Therapist· Monroe, NJ
Physical Therapist in Monroe, New Jersey, licensed in NJ, with an NPI issued in October 2022. Medicare paid $61,420 for services to 26 patients in 2024.
Overview
| NPI | 1174249908 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 13, 2022 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA02132700 | NJ |
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 (NJ); Practitioner - Physical Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 2,694 across 10 procedure codes |
| Paid by Medicare | $61,420 |
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All 21 physical therapists in Monroe · All physical therapists in New Jersey