Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth Rae Peck

Individual provider Personal Care Attendant · NPI 1972012888

Elizabeth Rae Peck is an Occupational Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Corner Of Route N12 And N7, Fort Defiance, AZ 86504 — (928) 729-8000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT22325 (FL)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1972012888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2017
Last updated in NPPESAugust 5, 2025
Certification dateJuly 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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