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

Kathleen Cassidy Peck, PT

Individual provider Physical Therapist · NPI 1699911818

Kathleen Cassidy Peck, PT is a Physical Therapist in Private Practice in Elk Grove, California. Qualified in 2008, 18 years ago. Practices with Stac Physical Therapy Laguna Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9281 Ofc Park Cir Ste 110
Elk Grove, CA 95758-8068
Phone: (916) 391-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)

Record details

NPI number1699911818
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 17, 2008
Last updated in NPPESDecember 17, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Stac Physical Therapy Laguna Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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