SHELBY PECK (NPI# 1689215048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689215048 |
| Entity Type | Individual |
| Full Name | SHELBY PECK |
| Practice Address |
5460 Meltzer Ct Cicero NY 13039-9430 |
| Mailing Address |
1121 Oswego St Liverpool NY 13088-5032 |
| Practice Telephone | 3156991619 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 023978 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5460 MELTZER CT |
| City | CICERO |
| State | NY |
| Zip Code | 13039-9430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867879 | Misty Murray | Occupational Therapy Assistant | 5460 Meltzer Ct, Cicero, NY 13039-9430 | 2018-04-04 |
| 1740811512 | Shelly Wheeler | Physical Therapy Assistant | 5460 Meltzer Ct, Cicero, NY 13039-9430 | 2020-01-30 |
| 1871150839 | Aimee Hope Zeman | Physical Therapist | 5460 Meltzer Ct, Cicero, NY 13039-9430 | 2019-05-24 |
| 1619458635 | Melanie Frances Long | Occupational Therapist | 5460 Meltzer Ct, Cicero, NY 13039-9430 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1164989810 | Emily Grace Massey | Occupational Therapy Assistant | 5962 Rte 31, Cicero, NY 13039 | 2019-02-28 |
| 1356837512 | Jennifer Lonnen Dds Pllc | Dentist | 6221 Rt 31 Ste 102, Cicero, NY 13039 | 2018-07-10 |
| 1285186916 | Bismarck Np Psychiatric Services Pllc | Nurse Practitioner | 6221 Route 31, Suite 106, Cicero, NY 13039 | 2016-10-28 |
| 1386090397 | Kristin Raineri | Dentist | 5972 Rt 31, Cicero, NY 13039 | 2016-05-09 |
| 1053788281 | Empire Vision Center, Inc | Eyewear Supplier (Equipment, not the service) | 5653 East Circle Drive, Cicero, NY 13039 | 2015-08-24 |
| 1003251018 | Christina M Smith | Licensed Practical Nurse | 8449 Bayridge Rd, Cicero, NY 13039 | 2013-05-03 |
| 1134463433 | Margaret L Southard | Case Manager/Care Coordinator | 5962 Rt 31, Suite 7 Box 10, Cicero, NY 13039 | 2012-11-27 |
| 1245589852 | Samantha Danielle Dillon | Pharmacist | 8061 Brewerton Road, Cicero, NY 13039 | 2012-08-29 |
| 1861769168 | Laura Shaw | Counselor | 6221 Rt. 31, Suite 110, Cicero, NY 13039 | 2011-11-30 |
| Find all providers in zip 13039 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751999 | Luz Chaheine | Occupational Therapist | 5430 W 23rd Pl, Cicero, IL 60804-2764 | 2019-06-28 |
| 1013484138 | Elizabeth Momeyer | Occupational Therapist | 5330 W 35th St, Cicero, IL 60804-4409 | 2018-10-26 |
| 1174046551 | April M Laventure | Occupational Therapist | 3443 S 55th Ave, Cicero, IL 60804-3959 | 2017-07-18 |
| 1548511942 | Ronald C Carey-santangelo | Occupational Therapist | 8236 Hoyt Farm, Cicero, NY 13039-8750 | 2012-09-25 |
| 1811132640 | Mary E Losito | Occupational Therapist | 6057 Marigold Ln, Cicero, NY 13039-9363 | 2008-12-08 |
| 1275788564 | Theresa Catherine Neuser | Occupational Therapist | 6382 Jane Ln, Cicero, NY 13039-9261 | 2008-12-01 |
| 1205024700 | Holly Yvonne Lusa | Occupational Therapist | 5601 W Cermak Rd, Cicero, IL 60804-2220 | 2007-10-09 |
| 1518514835 | Rachael Ann Brady | Occupational Therapist | 5962 Rt 31, Suite 10, Cicero, NY 13039 | 2019-08-21 |
| 1619458635 | Melanie Frances Long | Occupational Therapist | 5460 Meltzer Ct, Cicero, NY 13039-9430 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1689275737 | Emily Christine Olander | Occupational Therapist | 9 Beech Dr, Painted Post, NY 14870-9090 | 2020-11-05 |
| 1588265698 | Kimberly Berganza | Occupational Therapist | 147 Parkdale Dr, North Babylon, NY 11703-3416 | 2020-11-04 |
| 1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
| 1144821489 | Gabrielle Alyn Mcrae | Occupational Therapist | 348 Marshall Dr S Apt 3b, Brooklyn, NY 11209-8534 | 2020-11-03 |
| 1720689342 | Tamara Hirschler | Occupational Therapist | 146 Beach 9th St Apt 8b, Far Rockaway, NY 11691-5628 | 2020-11-02 |
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1588263065 | Katherine Ann Gaeta | Occupational Therapist | 600 Woodrow Rd, Staten Island, NY 10312-1230 | 2020-10-26 |
| 1710586292 | Isha Iyer | Occupational Therapist | 1013 Union St Apt 2, Brooklyn, NY 11225-1104 | 2020-10-26 |
| 1194325621 | Rosanne Lei | Occupational Therapist | 2447 E 12th St Fl 1, Brooklyn, NY 11235-5019 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| 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.