David L Peck, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1002822 Issued in TX

Practice address

1130 Belt Line Rd Ste 100
Garland, TX 75040-3668

Phone

(972) 675-8641

Fax

(972) 864-8657

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Garland Therapy Associates

  • Specialist
  • Garland, TX
  • NPI 1356426373
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124103130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BELT LINE RD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403668",
            "telephone_number": "972-675-8641",
            "fax_number": "972-864-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BELT LINE RD STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403668",
            "telephone_number": "972-675-8641",
            "fax_number": "972-864-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceway Hospice LLC
• Peak Health Diagnostics, LLC
• Peak Physical Therapy, LLC
• Pearl Dental Clinic
• Demetrice Pearson
• Peco Enterprises Inc (Medicos)
• Pedi Spot LLC
• Pediatric Pro Children's Dentistry & Orthodontics
• Pediatric Radioanesthesia Supply
• Pediatrics Care Clinic

• Specialist in Garland, TX
• Providers in Garland, TX by specialty
• Specialist in Texas

• 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.