MR. GREGORY LEO PECK (NPI# 1396095642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396095642 |
| Entity Type | Individual |
| Full Name | MR. GREGORY LEO PECK |
| Credential | LPTA |
| Practice Address |
9017 Buckeye Dr Fontana CA 92335-6007 |
| Practice Telephone | 9512039017 |
| Mailing Telephone | 9512039017 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 2266 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306814363 | Gregory John Peck | Military Health Care Provider | 13511 S Springfield Rd, Brandywine, MD 20613-9232 | 2006-03-08 |
| 1194151506 | Gregory Allen Peck | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2013-09-17 |
| 1124298252 | Gregory Wayne Peck | Optometrist | 1765 Jonesboro Rd, Mcdonough, GA 30253-5969 | 2008-03-04 |
| 1316120827 | Gregory Lance Peck | Surgery | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2007-12-07 |
| Street Address |
9017 BUCKEYE DR |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847356 | Yayoi Lewis | Mechanotherapist | 1717 5th Ave, San Rafael, CA 94901-1810 | 2019-02-19 |
| 1346786381 | Professional Massage and Esthetics | Mechanotherapist | 13359 Poway Rd, #114, Poway, CA 92064-4625 | 2017-01-14 |
| 1316499916 | Suz Burroughs | Mechanotherapist | 2363 Boulevard Cir Ste 1, Walnut Creek, CA 94595-1173 | 2016-10-29 |
| 1205382280 | Robert Macdonald | Mechanotherapist | 3650 5th Ave, #201, San Diego, CA 92103-4235 | 2016-08-29 |
| 1407301070 | Katie Holly | Mechanotherapist | 20072 Sw Birch St Ste 190, Newport Beach, CA 92660-0799 | 2016-08-23 |
| 1306390083 | Ronda Ault Little | Mechanotherapist | 10386 Eve Way, Santee, CA 92071-2788 | 2016-08-10 |
| 1811344690 | Body Fix Therapies Inc | Mechanotherapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2016-05-20 |
| 1477914570 | Sherry Grahn-hull | Mechanotherapist | 97 Dobbins St Ste B, Vacaville, CA 95688-2700 | 2016-03-16 |
| 1326406042 | Spirals of Life Wellness Center | Mechanotherapist | 1660 Central Ave Ste F, Mckinleyville, CA 95519-4378 | 2016-02-09 |
| 1346615036 | Monica Marizette | Mechanotherapist | 5025 E Grant Ave, Fresno, CA 93727-3105 | 2015-12-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.