Active NPI
James Elliott Peck, PTA
- Physical Therapy Assistant
- Pleasant Hill, TN
National Provider Identifier
1972306553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8447
- Practice address
- 55 W Lake Rd
Pleasant Hill, TN 38578-3002 - Phone
- (931) 200-4150
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8447 | TN | Primary |
Addresses
Primary practice location
55 W Lake Rd
Pleasant Hill, TN 38578-3002
Mailing address
7108 Wellington Dr
Knoxville, TN 37919-5934
Phone (865) 978-0056
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8447 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1972306553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 WELLINGTON DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195934",
"telephone_number": "865-978-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W LAKE RD",
"city": "PLEASANT HILL",
"state": "TN",
"postal_code": "385783002",
"telephone_number": "931-200-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "JAMES",
"middle_name": "ELLIOTT",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "8447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.