Lynne Marie Pedersen, DPT
NPI 1184772600ActiveIndividual· Physical Therapist· Portland, OR
Physical Therapist (DPT) with New Proactive LLC and 1 other group, practicing in Portland, Oregon. Medicare paid $11,152 for services to 34 patients in 2024.
Overview
| NPI | 1184772600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | May 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | OR |
| Physical Therapist | 225100000X | 4951 | OR |
| Physical Therapist | 225100000X | PT00007233 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OR); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 564 across 7 procedure codes |
| Paid by Medicare | $11,152 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- New Proactive LLCVancouver, WA · 52 clinicians
- Oregon Luna Care Physical Therapy LLCHillsboro, OR · 50 clinicians
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