Active NPI
Frank Richard Pascarelli, OTR/L, BCMH, NMSE
- Occupational Therapist
- Eglin Afb, FL
National Provider Identifier
1013091073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1234
- Practice address
- 96TH MDG
307 Boatner Road
Eglin Afb, FL 32542-1282 - Phone
- (404) 368-4561
- Fax
- (404) 639-2896
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1234 | GA | Primary |
Addresses
Primary practice location
96TH MDG
307 Boatner Road
Eglin Afb, FL 32542-1282
Mailing address
2974 Sutton Glen
Marietta, GA 30062
Phone (770) 578-8731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1234 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013091073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 SUTTON GLEN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30062",
"telephone_number": "770-578-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96TH MDG",
"address_2": "307 BOATNER ROAD",
"city": "EGLIN AFB",
"state": "FL",
"postal_code": "325421282",
"telephone_number": "404-368-4561",
"fax_number": "404-639-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCARELLI",
"first_name": "FRANK",
"middle_name": "RICHARD",
"credential": "OTR/L, BCMH, NMSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT1234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eglin Afb, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.