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

Individual provider Physical Therapist · NPI 1710527254

Jesse L Peck, MSPT is a Physical Therapist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

813 Fay Rd
Syracuse, NY 13219-3009
Phone: (315) 488-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031887 (NY)

Record details

NPI number1710527254
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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