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

Kelly Haskell Peczka

Individual provider Physical Therapist · NPI 1376184101

Kelly Haskell Peczka is a Physical Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2007, 19 years ago. Practices with Piedmont Orthopedics, LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

500 Lanier Ave W Ste 702
Fayetteville, GA 30214-7643
Phone: (413) 250-7848
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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 009203 (GA)

Record details

NPI number1376184101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2019
Last updated in NPPESOctober 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Piedmont Orthopedics, Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville