EMILY NICOLE PECK (NPI# 1881254506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881254506 |
| Entity Type | Individual |
| Full Name | EMILY NICOLE PECK |
| Credential | PT, DPT |
| Practice Address |
1891 Station Pkwy Nw Andover MN 55304-3341 |
| Mailing Address |
909 Douglas St Alexandria MN 56308-2232 |
| Practice Telephone | 7637554275 |
| Mailing Telephone | 3208154219 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
11549 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932372323 | Emily Osborn Peck | Speech-Language Pathologist | 311 Mallard Ln, Sugar Grove, IL 60554-9406 | 2008-04-08 |
| 1326405697 | Emily Peck | Dietetic Technician, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2016-01-18 |
| 1881060523 | Emily Peck | Physician Assistant | 425 Medical Dr, Suite 205, Bountiful, UT 84010-4945 | 2015-08-17 |
| 1730595950 | Emily Ann Peck | Counselor | 200 24th St, Richmond, CA 94804-1804 | 2014-07-08 |
| 1760771935 | Emily Peck | Marriage & Family Therapist | 46 W Avon Rd, Avon, CT 06001-3679 | 2011-03-28 |
| Street Address |
1891 STATION PKWY NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388510 | Nancy Mathis | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-4259 | 2006-04-28 |
| 1780285072 | Andrea Christ | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-11-04 |
| 1205434354 | Courtney Konop | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1316545460 | Kelly Josephine Hanlon | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1831797984 | Mary Rachael Gabrelcik | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1235741604 | Amy Brisson | Speech-Language Pathologist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-08-18 |
| 1528693785 | Alissa Bartholomew | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1376178442 | Jaidyn Johnson | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1518592625 | Elsie Mcclelland | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-03-09 |
| 1215560453 | Ariel Blanchette | Occupational Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097074 | Catherine F. T. Garth | Physical Therapist | 88 Central St, Andover, MA 01810-3914 | 2009-03-11 |
| 1023299922 | Roxann E. Nickerson | Physical Therapist | 6 Hampton Ln, Andover, MA 01810-4302 | 2007-11-19 |
| 1205434354 | Courtney Konop | Physical Therapist | 1891 Station Pkwy Nw, Andover, MN 55304-3341 | 2020-10-12 |
| 1326535196 | Sarah Joy Moen | Physical Therapist | 1891 Station Parkway Nw, Andover, MN 55304-4259 | 2018-04-17 |
| 1043355746 | Donna Bogdan Cordova | Physical Therapist | 450 Lowell St, Andover, MA 01810-5305 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416043 | Jenna Gasperlin | Physical Therapist | 657 Main St Nw Ste 102, Elk River, MN 55330-1578 | 2020-08-04 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1801300280 | Meghan Elizabeth Grathen | Physical Therapist | 490 S Maple St Ste 215, Waconia, MN 55387-1732 | 2017-11-21 |
| 1497205108 | Andrea Mary Mattison | Physical Therapist | 2399 Ariel St #a, Saint Paul, MN 55108-2202 | 2016-10-05 |
| 1457718264 | Jocelyn Lian Pediatric Physical Therapy Services, LLC | Physical Therapist | 13889 Fawn Ridge Way, Apple Valley, MN 55124-5035 | 2016-01-25 |
| 1689983587 | Karessa Hoffman | Physical Therapist | 9827 Maple Grove Pwky N, Maple Grove, MN 55369 | 2010-09-27 |
| 1134435332 | Lindsey Hulit Harrigan | Physical Therapist | 885 Highway 36 W, Apt. 304, Roseville, MN 55113-4429 | 2010-08-25 |
| 1760626196 | Crystal Lynn Markfort | Physical Therapist | 2025 East River Parkway, Mpls, MN 55414 | 2009-04-29 |
| 1659577153 | Mary Royer | Physical Therapist | 100 W Pleasure Dr, Litchfield, MN 55355-3525 | 2007-06-22 |
| 1295809366 | Children's Therapy Center, Inc | Physical Therapist | 2795 Pilot Knob Rd # 100, Eagan, MN 55121-1119 | 2006-11-20 |
| 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.