MR. KYLE J PECKHAM ATC
NPI 1861889206
Specialist/Technologist - Athletic Trainer in Essex Junction, VT

Active since April 23, 2015
10 EDGEWOOD DR, ESSEX JUNCTION, VT 05452(802) 734-6364 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kyle J Peckham Atc NPPES

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

MR. KYLE J PECKHAM ATC (NPI 1861889206) is an individual athletic trainer provider in Essex Junction, Vermont and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1861889206
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KYLE J PECKHAMCredential: ATC
Location Address10 EDGEWOOD DREssex Junction, VT 05452-3073
Mailing Address10 Edgewood DrEssex Junction, VT 05452-3073 · (802) 734-6364
Sole ProprietorYes
Enumeration DateApril 23, 2015
Last NPPES UpdateDecember 10, 2015
NPI 1861889206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
10 EDGEWOOD DR, Essex Junction, VT 05452

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 Kyle Peckham's NPI number?

The NPI number for Kyle Peckham is 1861889206. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Kyle Peckham located?

Kyle Peckham practices at 10 Edgewood Dr, Essex Junction, VT 05452. The listed phone number is (802) 734-6364.

What is Kyle Peckham's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kyle Peckham was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.