Annie L. Peck, A.P., L.M.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 2070 Issued in FL

Practice address

3919 W Newberry Rd
Ste 4
Gainesville, FL 32607-4828

Phone

(352) 339-0793

Fax

(352) 332-3812

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Gainesville, FL
  • NPI 1144203894
  NPD (past)
• Fit for Life Physical Therapy, Inc

  • Physical Therapist
  • Ocala, FL
  • NPI 1417084674
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1104959899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 NW 154TH ST",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692855",
            "telephone_number": "352-339-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W NEWBERRY RD",
            "address_2": "STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074828",
            "telephone_number": "352-339-0793",
            "fax_number": "352-332-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "ANNIE",
        "middle_name": "L.",
        "credential": "A.P., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwashonda Pearson
• Lauren Pearson
• Thomas A Pearson, MD, PHD
• Danielle Pease
• Glenn Dexter O Pebanco, PHARM.D.
• Elizabeth Ann Peck
• Rachel Peck, DPT
• Nicole Christine Peckham, PA-C, RDN
• Cynthia Kathleen Pedersen, LCSW
• Jaime Pedersen

• Acupuncturist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.