Individual provider Active NPI

Kathryn Hamlin-Pacheco, OTR/L

  • Occupational Therapist
  • Springfield, VA
National Provider Identifier
1144729625
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010560 Issued in VA
Practice address
6225 Brandon Ave Ste 130
Springfield, VA 22150-2519
Phone
(703) 569-7500
NPI assigned
Feb 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT18952 FL
Occupational Therapist 225X00000X 0119010560 VA Primary

Addresses

Primary practice location

6225 Brandon Ave Ste 130
Springfield, VA 22150-2519

Mailing address

16366 N Shore Dr
Pensacola, FL 32507-8372
Phone (757) 633-8940

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

LicenseStateTypeSpecialty
OT18952FLMDOccupational Therapist
0119010560VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Executive, LLC CurrentSince May 18, 2025 Accepting new patients
Pediatric Therapy Works, Inc. PastSince Aug 6, 2019 Accepting new patients
Fleming Therapy Services, LLC Occupational Therapist PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1144729625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16366 N SHORE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078372",
            "telephone_number": "757-633-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 BRANDON AVE STE 130",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502519",
            "telephone_number": "703-569-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN-PACHECO",
        "first_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18952",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.