Healthcare Provider Details

I. General information

NPI: 1184346009
Provider Name (Legal Business Name): JAMES PECK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 FRIENDSHIP RD STE 200
BRASELTON GA
30517-5608
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 770-415-9792
  • Fax: 770-882-0268
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016205
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: