KAREN ANN PECK (NPI# 1073017372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073017372 |
| Entity Type | Individual |
| Full Name | KAREN ANN PECK |
| Credential | CTRS, CLC, CST, QST |
| Practice Address |
469 Buckland Rd Ste 102 South Windsor CT 06074-3737 |
| Practice Telephone | 8604329923 |
| Mailing Telephone | 8604329923 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 12771 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840237 | Karen Ruth Peck | Counselor | 86 Columbus Rd Ste 103, Athens, OH 45701-1331 | 2017-09-22 |
| 1538463476 | Karen A Peck | Developmental Therapist | 17633 Capistrano Ln, Orland Park, IL 60467-8209 | 2011-01-07 |
| 1801860721 | Karen Yvonne Peck | Specialist/Technologist | 727 Brewerton Rd, Department of Physical Education, West Point, NY 10996-1602 | 2006-02-15 |
| 1154762847 | Karen A Peck | Pharmacist | 3000 Ford Street Ext, Ogdensburg, NY 13669-4480 | 2013-07-10 |
| 1881754323 | Karen Lynn Peck | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2006-12-12 |
| 1447275656 | Karen Peck | Emergency Medicine | 333 Red Wolf Blvd, Jonesboro, AR 72405-9739 | 2006-07-12 |
| Street Address |
469 BUCKLAND RD STE 102 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952412629 | Michael James Rose | Recreation Therapist | 761 Woodin St, Hamden, CT 06514-4218 | 2006-08-31 |
| 1275171530 | Lisa Ann Tringali | Recreation Therapist | 28 Crescent St, Middletown, CT 06457-3654 | 2019-12-18 |
| 1629511910 | Bryan Mcfarland | Recreation Therapist | 459 Wallingford Rd, Durham, CT 06422-1125 | 2016-11-18 |
| 1841384575 | Mary Lou Lauricella | Recreation Therapist | 950 Campbell Avenue, West Haven, CT 06516 | 2006-10-03 |
| 1518060920 | Cheryl Ann Cresta | Recreation Therapist | 114 Boston Post Rd, # 152, West Haven, CT 06516-2043 | 2006-09-07 |
| 1417069840 | Pamela Barbara Moran | Recreation Therapist | 555 Willard Ave, Newington, CT 06111-2631 | 2006-08-31 |
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on KAREN ANN PECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.