Elizabeth Pacheco, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006050 Issued in GA

Practice address

2950 Cherokee St NW Ste 500
Kennesaw, GA 30144-6500

Phone

(678) 903-5506

NPI assigned

Sep 16, 2015

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1053780304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW STE 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW STE 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446500",
            "telephone_number": "678-903-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ola Osueke, FNP
• Jeremy Overstreet
• Brooke Owens, LPC
• Hailey Owens
• Angela S Paas, M.D.
• Kayley Pacific, PHARMD
• Soulette Page
• Alyxandra Paige
• Pain Solutions of Georgia
• Amanda Paisley, PHARMD

• Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.