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KELLIE SUE PECK DPT
NPI 1932600566
Physical Therapist - Pediatrics in Lansing, MI

Active since February 28, 2018
1200 E MICHIGAN AVE STE 145, LANSING, MI 48912(517) 364-5464 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Sue Peck Dpt NPPES

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

KELLIE SUE PECK DPT (NPI 1932600566) is an individual pediatrics provider in Lansing, Michigan, licensed in Michigan (5501015694) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1932600566
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLIE SUE PECKCredential: DPT
Location Address1200 E MICHIGAN AVE STE 145Lansing, MI 48912-1897
Mailing Address1200 E Michigan Ave Ste 145Lansing, MI 48912-1897
Phone(517) 364-5464
Sole ProprietorYes
Enumeration DateFebruary 28, 2018
✔ NPI 1932600566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MI · 5501015694
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1200 E MICHIGAN AVE STE 145, Lansing, MI 48912
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Other Providers at the Same Location NPPES 20

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

DR. DAVID CERVI D.O., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
HARRIETTA CHRISTODOULOS DO
Pediatrics
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
KATHLEEN MARIE WILSON MS, OTR/L
Occupational Therapist (Pediatrics)
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5464
DR. ABDALLA ABDALLA-ALI MD
Pediatrics
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
SAMANTHA L CASSISI MS, LCGC
Genetic Counselor, MS
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
BRYAN VONASEK MD
Pediatrics (Pediatric Infectious Diseases)
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
ANDREA DARLENE EVANCHO MPT, PCS
Physical Therapist (Pediatrics)
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5464
MRS. CHRISTINA JEAN LISTERMANN MA, CCC-SLP/L
Speech-Language Pathologist
1200 E MICHIGAN AVE STE 145
LANSING, MI 48912
Ingham County (517) 364-5464

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 Kellie Peck's NPI number?

The NPI number for Kellie Peck is 1932600566. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Kellie Peck located?

Kellie Peck practices at 1200 E Michigan Ave Ste 145, Lansing, MI 48912. The listed phone number is (517) 364-5464.

What is Kellie Peck's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kellie Peck was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.