Christian J Pacheco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23488 Issued in FL

Practice address

13550 S Jog Rd Ste 100
Delray Beach, FL 33446-3808

Phone

(561) 496-5144

NPI assigned

Apr 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jose Juan Diaz, DO PAGroup PAC ID 0648415158, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: christian.pacheco@238098461884420.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jose Juan Diaz DO PA

  • Physical Medicine & Rehabilitation Physician
  • Fort Lauderdale, FL
  • NPI 1447595533
  Medicare reassignment Care Compare group NPD
• Motion Medical Group, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Largo, FL
  • NPI 1083339147
  Medicare reassignment NPD
• Pain Management Clinics of Florida, LLC

  • Pain Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1912367426
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1043435266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NE 3RD TERRACE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-562-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-496-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N. 35th Avenue",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215413",
            "country_code": "US",
            "telephone_number": "561-236-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "CHRISTIAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley A Overpeck, APRN
• Jeffrey Overstreet, PTA LMT FT
• Oxygen Rescue Care Centers of America, LLC
• Damla Ozel
• Angelo V. Pace, M.D.
• Nathalia Alves Pacini
• Brian Joel Padron Fernandez, APRN
• Denisse Padron Palacio, PTA
• Maria De Los Angeles Pagan, LCSW
• Ciana Pagano

• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.