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

Tia Angele Peck

Individual provider Physical Therapist · NPI 1093609547

Tia Angele Peck is a Physical Therapist in Private Practice in Durham, North Carolina. Graduated from Louisiana State University School of Medicine in New Orleans in 2025, 1 year ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

3708 Mayfair St Ste 110
Durham, NC 27707-6223
Phone: (984) 215-5090
Fax: (984) 215-5095
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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 P24327 (NC)

Record details

NPI number1093609547
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2025 (1 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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