ELIZABETH RAE PECK
NPI 1972012888
Occupational Therapist in Grand Rapids, MI

Active since September 22, 2017
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Sep 22, 2017 (2 updates tracked since 2017).

About Elizabeth Rae Peck NPPES

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

ELIZABETH RAE PECK (NPI 1972012888) is an individual occupational therapist in Grand Rapids, Michigan, licensed in Florida (OT22325) and active in the NPI registry since September 2017. She maintains a secondary practice location in Fort Defiance and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972012888
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELIZABETH RAE PECK
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2017
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
NPI 1972012888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in FL · OT22325
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506

Secondary Practice Location 1

Location 1Corner of Route N12 and N7Fort Defiance, AZ 86504 · Phone (928) 729-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Rae Peck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961907506
PECOS Enrollment IDI20250925000100

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.

Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Behavior Technician
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Licensed Practical Nurse
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Rehabilitation Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Technician (Personal Care Attendant)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506

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 Elizabeth Peck's NPI number?

The NPI number for Elizabeth Peck is 1972012888. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Elizabeth Peck located?

Elizabeth Peck practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (616) 940-0040.

What is Elizabeth Peck's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Elizabeth Peck enrolled in Medicare?

Yes. Elizabeth Peck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Peck was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.