Jennifer Rachel Pacchiano, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0100991 Issued in NY

Practice address

44 Jeanette Ave
Staten Island, NY 10312-3609

Phone

(718) 227-9387

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1023206539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 JEANETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123609",
            "telephone_number": "718-227-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 JEANETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123609",
            "telephone_number": "718-227-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACCHIANO",
        "first_name": "JENNIFER",
        "middle_name": "RACHEL",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0100991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nulia Ozulumba
• Visitacion Pabicon, MD
• Joseph Paulino Pablo, OTR/L
• Maria Pablo, M.D.
• Priscilla Claudia Albano Pablo
• Mark Anthony Pacchiano, MSPT, MTC, CSCS
• Pace Set Medics LLC
• Mark Orson Pachas, LMSW
• Ursula Pachas, RN
• Ruth Pacheco

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.