JESSE L PECK (NPI# 1710527254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710527254 |
| Entity Type | Individual |
| Full Name | JESSE L PECK |
| Credential | MSPT |
| Practice Address |
813 Fay Rd Syracuse NY 13219-3009 |
| Practice Telephone | 3154882831 |
| Mailing Telephone | 3154882831 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 031887 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578061966 | Jesse Peck | Behavioral Analyst | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-01-31 |
| Street Address |
813 FAY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110879 | Annie M Kelly | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-05-12 |
| 1942831177 | Emily Dipaola | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-27 |
| 1295375699 | Denise W Ambrose | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-14 |
| 1578076071 | Anna Kathryn Rue | Physical Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-11-07 |
| 1699293076 | Shelbi Montanaro | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-09-06 |
| 1467973610 | Emily Block Treglia | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-28 |
| 1902334972 | Haley Marie Carey | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-02 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| 1073053385 | Theresa Stanton | Respiratory Therapist, Registered | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-06 |
| 1164962080 | Meghan C Byrne | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
| Find all providers in zip 13219 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578101945 | Cynthia Michele Gillette | Physical Therapist | 739 Irving Ave Ste 610, Syracuse, NY 13210-1651 | 2019-12-17 |
| 1184273302 | Matthew Miya | Physical Therapist | 3566 S Bayview Dr, Syracuse, UT 84075-3704 | 2019-09-10 |
| 1235696493 | Damond P Archung | Physical Therapist | 4203 Cleveland Rd, Syracuse, NY 13215-2415 | 2019-02-25 |
| 1225551567 | Joshua Richard Brenkmann | Physical Therapist | 736 S 2000 W Ste 1, Syracuse, UT 84075-9691 | 2017-07-19 |
| 1952858003 | Isaac Robert Virag | Physical Therapist | 207 Pine Street, Syracuse, NY 13210 | 2016-09-07 |
| 1477916088 | Kelly Danielson | Physical Therapist | 4428 Belleflower Cir, Syracuse, NY 13215-9612 | 2016-03-31 |
| 1821490319 | Kristin Ottaviano | Physical Therapist | 915 Danforth Street, Syracuse, NY 13208-1645 | 2014-09-16 |
| 1184032468 | Elizabeth Kulik | Physical Therapist | 4651 Nixon Park Drive, Syracuse, NY 13215-9759 | 2014-07-30 |
| 1144634627 | Vahida Begum Shaik | Physical Therapist | 212 Village Dr Apt 1, Syracuse, NY 13206-2637 | 2014-06-12 |
| 1851713911 | Rebecca Anne Schillo | Physical Therapist | 109 Strathmore Dr, Syracuse, NY 13207-1649 | 2014-01-09 |
| Find all providers in SYRACUSE | ||||
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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.