Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jonathan Pederson, ATC

Athletic Trainer in Ankeny, IA · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104261288

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Registry record

Entity type Individual (Type 1)

Name Jonathan Pederson

Credential ATC

Sex Male

Practice address 301 N Ankeny Blvd, Ankeny, IA, 50023

Phone (515) 965-1422

Enumeration date May 3, 2013

Last updated in NPPES May 3, 2013

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 001110 (IA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jonathan Pederson?

The National Provider Identifier (NPI) for Jonathan Pederson is 1104261288, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jonathan Pederson practice?

The practice location on file with NPPES is in Ankeny, IA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-03.