Rebecca Jeanne Peck, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2540 Billingsley Rd
Columbus, OH 43235-1990

Phone

(614) 602-6473

NPI assigned

May 28, 2017

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

Other names 1

• Rebecca Jeanne Serozynski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1477081982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 SAGEBRUSH CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813720",
            "telephone_number": "614-325-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 BILLINGSLEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351990",
            "telephone_number": "614-602-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "REBECCA",
        "middle_name": "JEANNE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SEROZYNSKI",
            "middle_name": "JEANNE",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Robert Peck
• Lauren Peck, MD
• Lauren Haunani Peck, PHARMD
• Megan Marie Peck
• Peggy Peck
• Stephanie Pecoraro
• Jamie Pecore
• Vincent Pecore
• Pedapy LLC
• Sarah Alice Peden, APRN

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.