Jon David Pedersen Jr.

Athletic Trainer · Storrs, CT

Individual Active NPI

NPI number 1568177129

Practice location

2098 Hillside Road
Storrs, CT 06286
Phone
(203) 980-1516

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NPI record

NPI
1568177129
Entity type
Individual (Type 1)
Enumeration date
January 18, 2023
Last updated
July 17, 2025
Certified
July 7, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 001900 CT

Mailing address

8 Erico Dr
East Haven, CT 06512-1091
Phone
(230) 980-1516

About Jon Pedersen

Jon David Pedersen Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2098 Hillside Road, Storrs, CT 06286. The NPI number 1568177129 was assigned on January 18, 2023 and the record was last updated on July 17, 2025.

Jon Pedersen lists a license in the registry: #001900 (CT) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon David Pedersen Jr.?

The NPI number is 1568177129.

What is the phone number of Jon Pedersen?

The phone number listed for the practice location is (203) 980-1516.

Where is Jon Pedersen located?

2098 Hillside Road, Storrs, CT 06286.

What is the taxonomy code for Jon Pedersen?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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