Active NPI
Tamie Lu Peck, MA OTR/L
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1477735652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1394
- Practice address
- 22608 Linda Dr
Torrance, CA 90505-3208 - Phone
- (310) 316-9301
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1394 | CA | Primary |
Addresses
Primary practice location
22608 Linda Dr
Torrance, CA 90505-3208
Mailing address
333 N Prairie Ave
Inglewood, CA 90301-4501
Phone (310) 674-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1394 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1477735652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N PRAIRIE AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014501",
"telephone_number": "310-674-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22608 LINDA DR",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053208",
"telephone_number": "310-316-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "TAMIE",
"middle_name": "LU",
"credential": "MA OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "1394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.