Holly M Peck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P15001 Issued in NC

Practice address

775-2 West Corbett Avenue
Swansboro, NC 28584

Phone

(910) 325-0211

Fax

(910) 325-0580

NPI assigned

Aug 18, 2006

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: holly.peck.1@9526.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateau Physical Therapy

  • Physical Therapy Clinic/Center
  • Lusby, MD
  • NPI 1679551568

  Physical Therapist

  NPD (past)
• Proflex Physical Thearpy of Maryland, LLC

  • Physical Medicine & Rehabilitation Physician
  • Stafford, VA
  • NPI 1700763851
  NPD (past)
• Proflex Physical Therapy of Maryland, LLC

  • Physical Medicine & Rehabilitation Physician
  • Leonardtown, MD
  • NPI 1841748316
  NPD (past)
• Proflex Physical Therapy of Maryland, LLC.

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
  • NPI 1558714824
  NPD (past)
• Sage Physical Therapy & Wellness LLC

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  Physical Therapist

  NPD (past)
• Southern Maryland Physical Therapy, Inc

  dba Rehabilitation Center of Southern Maryland

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
  • NPI 1609877646
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1093829202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775-2 WEST CORBETT AVENUE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "910-325-0211",
            "fax_number": "910-325-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775-2 WEST CORBETT AVENUE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "910-325-0211",
            "fax_number": "910-325-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22715 Washington Street",
            "address_2": "Southern Maryland Physical Therapy, Inc",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "20650",
            "country_code": "US",
            "telephone_number": "301-997-0712",
            "fax_number": "301-997-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "17326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #11349)
• Ohanas Connection LLC
• Jessica Robyn Oneil, OD
• Onslow Opco Holdings LLC (The Landings of Swansboro)
• Leah Belle Otte, MSW, LCSW
• R Roff Chiropractic Services, PLLC (Roff Chiropractic)
• Paul Robert Reid, MPT
• Melanie Rae Rhodes
• June Robinson, CLC
• Roger R Roff Jr., DC

• Physical Therapist in Swansboro, NC
• Providers in Swansboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.