KELLY HASKELL PECZKA
NPI 1376184101
Physical Therapist in Fayetteville, GA

Active since October 02, 2019Accepts Medicare Assignment
500 LANIER AVE W STE 702, FAYETTEVILLE, GA 30214(413) 250-7848 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Haskell Peczka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY HASKELL PECZKA (NPI 1376184101) is an individual physical therapist in Fayetteville, Georgia, licensed in Georgia (009203) and active in the NPI registry since October 2019. She is a graduate of Other (2007).

NPPES Registry Identity

NPI1376184101
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY HASKELL PECZKA
Location Address500 LANIER AVE W STE 702Fayetteville, GA 30214-7643
Mailing Address376 Dingler RdMoreland, GA 30259-2229 · (413) 250-7848
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 2, 2019
✔ NPI 1376184101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · 009203
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
500 LANIER AVE W STE 702, Fayetteville, GA 30214

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Haskell Peczka is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365962750
PECOS Enrollment IDI20250228002514

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Peczka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
2785 HIGHWAY 54
Peachtree City, GA 30269
  • Reassigned Medicare billing, Georgia enrollment
  • 168 clinicians in this Medicare group
Physical Therapy
7813 SPIVEY STATION BLVD STE 230
Jonesboro, GA 30236
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group
Orthopaedic Surgery
105 COLLIER RD NW STE 2000
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 183 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214
Speech-Language Pathologist
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214
Physical Therapist
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214
Physical Therapist
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214
Physical Therapist
500 LANIER AVE W STE 702
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Peczka's NPI number?

The NPI number for Kelly Peczka is 1376184101. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Kelly Peczka located?

Kelly Peczka practices at 500 Lanier Ave W Ste 702, Fayetteville, GA 30214. The listed phone number is (413) 250-7848.

What is Kelly Peczka's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Peczka enrolled in Medicare?

Yes. Kelly Peczka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Peczka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Peczka reassigns Medicare benefits to 4 organizations: Orthoatlanta, LLC (Peachtree City, GA), Emory Physical Therapy, LLC (Jonesboro, GA), Georgia Luna Care Physical Therapy LLC (Atlanta, GA) and Piedmont Orthopedics, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Peczka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Peczka accept?

Health plans from Oscar Health list Kelly Peczka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Peczka was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.