Luis F Paucar, OCCUPATIONAL THERAPI

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

00995 Issued in GA

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-2618

Fax

(912) 466-2613

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104952035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 N COTTAGES DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225518",
            "telephone_number": "912-634-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-2618",
            "fax_number": "912-466-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUCAR",
        "first_name": "LUIS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "00995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LIENSE",
            "identifier": "00995",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshani Ranjitbhai Patel
• Shakti Vinod Patel, PHARMD
• Suhena Patel
• Yash Patel
• Jennifer Sue Patterson, ANP
• Efthimia Pavlou, M.D.
• Tracy Pavone, AA
• Lauren Pearl
• Pediatric Associates of Brunswick
• Pediatric Therapies of SE Ga, LLC

• Hand Occupational Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Hand Occupational Therapist in Georgia

• 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.

Verify at the official NPI Registry.