NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Timothy S Pedersen, MS, PT

Physical Therapist in Fairhaven, MA · enumerated 2006 · practices at Synergy Healthcare Corporation.

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

National Provider Identifier

1114004231

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Registry record

Entity type Individual (Type 1)
Name Mr. Timothy S Pedersen
Credential MS, PT
Sex Male
Practice address Fairhaven, MA, 02719
Fax (508) 994-3068
Enumeration date Nov 1, 2006
Last updated in NPPES Sep 8, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 8305 (MA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT01872 (RI) Secondary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier Type State Issuer
110088219A Medicaid MA -

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

Where does Timothy Pedersen practice?
The practice location on file with NPPES is in Fairhaven, MA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Timothy Pedersen?
The National Provider Identifier (NPI) for Timothy Pedersen is 1114004231, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-08.