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

Individual provider Pediatric Physical Therapist · NPI 1316189566

Kelly Peck, MPT is a Pediatric Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1835 S Sepulveda Blvd
Los Angeles, CA 90025-4313
Phone: (310) 478-6222
Fax: (310) 478-6696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT22097 (CA)

Record details

NPI number1316189566
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009

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