Amanda Paige Peck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA01254800 Issued in NJ

Practice address

239 Prospect Plains Rd
Suite B101
Monroe Township, NJ 08831-3704

Phone

(609) 395-9955

Fax

(609) 683-3837

NPI assigned

Feb 21, 2008

Last updated

Mar 7, 2017By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Spine Physical Therapy and Yoga LLCGroup PAC ID 2163707548, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Divine Spine Physical Therapy and Yoga LLC

  • Physical Therapy Clinic/Center
  • Monroe, NJ
  • NPI 1043756778

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1699944868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PROSPECT PLAINS RD",
            "address_2": "SUITE B101",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313704",
            "telephone_number": "609-395-9955",
            "fax_number": "609-683-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PROSPECT PLAINS RD",
            "address_2": "SUITE B101",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313704",
            "telephone_number": "609-395-9955",
            "fax_number": "609-683-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA01254800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Patel
• Roshni Patel, APN
• Vatsal Patel, RPH
• Vithal K. Patel, R PH.
• Pavilion Medical Associates, LLC (Pavilion Medical Group)
• Maria P.a. Phillips, L.AC. C.A.
• Pillpack LLC (Amazon Pharmacy #036)
• Pivotal Physical Therapy & Wellness Center, LLC
• Plainsboro Physical Therapy and Wellness LLC
• Miriam Golda Plumer, MSW

• Physical Therapist in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.