Individual provider Active NPI

Rebecca Peck, PT, DPT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1215605183
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02037000 Issued in NJ
Practice address
1 Brace Rd Ste a
Cherry Hill, NJ 08034-2600
Phone
(856) 470-9191
Fax
(856) 310-9829
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02037000 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste a
Cherry Hill, NJ 08034-2600

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Other practice location 1

740 Marne Hwy Ste 203
Moorestown, NJ 08057-3127
Phone (856) 914-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211007000643 NJ Practitioner - Physical Therapist in Private Practice 6002214913 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Jan 22, 2024 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Rehabclinics SPT Inc CurrentSince Jan 22, 2024 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

23204 Columbus Rd
Columbus, NJ 08022
Phone (609) 324-1200

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1215605183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE RD STE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-470-9191",
            "fax_number": "856-310-9829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Marne Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573127",
            "country_code": "US",
            "telephone_number": "856-914-1400",
            "fax_number": "856-914-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02037000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.