Elizabeth Marabella Peck, PT, DPT, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

17364-1 Issued in NY

Legal business name

ELIZABETH MARABELLA PECK, PT, DPT, PLLC

Practice address

105 Main St
Suite 2
North Tonawanda, NY 14120-5308

Phone

(716) 692-6388

Fax

(716) 692-1227

NPI assigned

Aug 26, 2012

Last updated

Aug 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Peck, PT, DPT

Title

Owner

Phone

(716) 692-6388

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Sirface, DPT

  • Physical Therapist
  • North Tonawanda, NY
  • NPI 1801719968
  NPD (past)
• Melissa Lynn Virgilio, PTA

  • Physical Therapy Assistant
  • North Tonawanda, NY
  • NPI 1780146613
  NPD (past)

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345939200000",
    "number": "1225386295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "address_2": "SUITE 2",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205308",
            "telephone_number": "716-692-6388",
            "fax_number": "716-692-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "address_2": "SUITE 2",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205308",
            "telephone_number": "716-692-6388",
            "fax_number": "716-692-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MARABELLA PECK, PT, DPT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-26",
        "last_updated": "2012-08-26",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-692-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "17364-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Edwards, PT, DPT
• Rachel Edwards
• Andrea Efthemis
• Molly Eimer, AGPCNP
• Wednesday Elder
• Emg Spine and Sports Medicine, LLC
• Suzanne Esposito, LPN
• Kathryn Ruth Essek, CRC, LMHC
• Evan L. Zingaro, DDS, PLLC (Boulevard Family Dental)
• Evans Family Chiropractic

• Physical Therapy Clinic/Center in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; 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.