Anthony Kenneth Peck, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2169 Field House Dr
U S a F Academy, CO 80840-9599

Phone

(719) 333-0218

Fax

(719) 333-0204

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023045903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BIRDIE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 FIELD HOUSE DR",
            "city": "U S A F ACADEMY",
            "state": "CO",
            "postal_code": "808409599",
            "telephone_number": "719-333-0218",
            "fax_number": "719-333-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ANTHONY",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dohyun Park
• Edward Parker, O.D.
• Jeremiah J Parker, DMD
• Sarah Parsch, DMD
• Lisa Beth Paulson, PA-C
• Thomas Gerhard Pelkmann, MD
• Nancy Gail Perry, DDS
• Amy Suzanne Peterson, MS, RD
• Jason Petrash
• Ashley Z Pierce, ATC, CSCS

• Athletic Trainer in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.