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Active NPI 1114004231 Individual Practitioner Male Practitioner

Timothy S Pedersen , MS, PT

Physical Therapist • Fairhaven, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Pedersen, MS, PT is a certified Physical Therapist practicing in Fairhaven, MA. With approximately 36 years of clinical experience since completing medical education in 1990, Timothy Pedersen delivers high-quality medical care to the local community at 17 SARAHS WAY.

Timothy Pedersen is affiliated with Synergy Healthcare Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17 Sarahs Way

Fairhaven, MA 027193161

Telephone 5089912918
Fax 5089943068
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Fairhaven, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +11.0 yrs vs City Avg
City Avg: 25.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Fairhaven, MA (7163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (36 Years) 36 Yrs
Fairhaven Specialty Average (25.0 Years) 25.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,677 158 $60.00 $25.04
97140 Therapy procedure using manual technique, each 15 minutes
603 101 $60.00 $20.02
97530 Therapy procedure using functional activities
215 63 $60.00 $35.41
97116 Walking training to 1 or more areas, each 15 minutes
211 35 $60.00 $21.39
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
109 23 $60.00 $30.45
97161 Evaluation of physical therapy, typically 20 minutes
62 58 $225.00 $101.73
97162 Evaluation for physical therapy, typically 30 minutes
20 20 $225.00 $101.79

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MA 8305

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Physical Therapist

NUCC Taxonomy Code: 225100000X

State License RI PT01872

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110088219A (MA)

Hospital & Practice Group Affiliations

Synergy Healthcare Corp

147 B Washington St, Fairhaven, MA 027194013

Phone: 5089912918

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Deidre Hart , MSPT

Physical Therapist

NPI 1295741353

Master of Science in Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2011

Registered at 17 SARAHS WAY, FAIRHAVEN, MA 027193161 (Tel: 5089912918)

📍
Updated Business Mailing Address September 08, 2011

Registered at 17 SARAHS WAY, FAIRHAVEN, MA 027193161 (Tel: 5089912918)

👤
Provider Name / Credentials Updated September 08, 2011

Recorded as TIMOTHY PEDERSEN, MS, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2011

Physical Therapist (License #8305 in MA)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114004231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: September 08, 2011
Sole Proprietor: Yes

Mailing Address

17 Sarahs Way

Fairhaven, MA 027193161

Phone: 5089912918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.