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

Yohan Peck

Individual provider Physical Therapist · NPI 1396038782

Yohan Peck is a Physical Therapist in Private Practice in Lewisville, Texas. Qualified in 2002, 24 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1288 W Main St Ste 148
Lewisville, TX 75067-3468
Phone: (469) 496-3992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3699 Wilshire Blvd, Los Angeles, CA 90010-2718 — (800) 464-4000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33187 (CA)

Record details

NPI number1396038782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lewisville