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Jon David Pedersen

Specialist/Technologist - Athletic Trainer β€’ Storrs, CT

Active NPI 1568177129 Individual Practitioner Male Practitioner
Practice location in NPPES

2098 Hillside Road
Storrs, CT 06286

Call 2039801516 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2098 Hillside Road

Storrs, CT 06286

Telephone 2039801516

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Storrs and Connecticut

48 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Storrs, CT (643 in Connecticut).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Storrs

0% of these 48 clinicians have the CMS telehealth indicator.

0% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-07
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES CT 001900

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Connecticut Department of Public Health Verification.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 17, 2025

Registered at 2098 HILLSIDE ROAD, STORRS, CT 06286 (Tel: 2039801516)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2025

Specialist/Technologist (license number reported to NPPES: CT 001900)

βœ…
NPI Profile Active January 18, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 18, 2023

Registered at 651 ELM ST, YOUNGSTOWN, OH 44502 (Tel: 2039801516)

πŸ“
Business Mailing Address (Initial Record) January 18, 2023

Registered at 8 ERICO DR, EAST HAVEN, CT 065121091 (Tel: 2309801516)

πŸ‘€
Provider Name / Credentials (Initial Record) January 18, 2023

Recorded as JON PEDERSEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2023

Specialist/Technologist (license number reported to NPPES: OH AT006745)

🟒
Initial NPI Registration & Enumeration January 18, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568177129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2023
Last Update: July 17, 2025
Sole Proprietor: Yes

Mailing Address

8 Erico Dr

East Haven, CT 065121091

Phone: 2309801516

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.