Pedersen Outpatient Physical Therapy

Pedersen Outpatient Physical Therapy is a healthcare organization registered as Physical Therapy Clinic/Center in Enumclaw, WA, holding Type 2 (organization) NPI 1104040856 since 2007. The authorized official on file is George Pedersen, Therapist.

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NPI	1104040856
Entity type	Organization (Type 2)
Legal business name	Pedersen Outpatient Physical Therapy
Practice address	1110 STEVENSON AVE, SUITE 100, Enumclaw, WA, 98022
Phone	3608257411
Fax	3608257434
Enumeration date	2007-04-12
Last updated in NPPES	2008-03-07

Authorized official

Name	George Pedersen
Title	Therapist
Phone	3608257411

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2000X	Physical Therapy Clinic/Center	Primary	—	WA

Copy-ready billing details

Provider: Pedersen Outpatient Physical Therapy
NPI: 1104040856
Taxonomy: 261QP2000X (Physical Therapy Clinic/Center)
Address: 1110 STEVENSON AVE, SUITE 100, Enumclaw, WA, 98022

Providers at this address

NPI	Name	Type	Specialty	Location
1073614814	Anna Lockard	Individual	Counselor	Enumclaw, WA
1083790133	Nancy Block-Olexick	Individual	Clinical Psychologist	Enumclaw, WA
1124228887	Lisa Mierke	Individual	Massage Therapist	Enumclaw, WA

Verify this record

Cross-check NPI 1104040856 against the authoritative CMS record: view Pedersen Outpatient Physical Therapy on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pedersen Outpatient Physical Therapy?

Pedersen Outpatient Physical Therapy is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-07.