Individual provider Active NPI

Virginia Pacheco

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1275833964
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT5689 Issued in FL
Practice address
454 NW 22ND Ave Ste 108
Miami, FL 33125-3355
Phone
(305) 890-9691
Fax
(305) 647-6127
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5689 FL Primary

Addresses

Primary practice location

454 NW 22ND Ave Ste 108
Miami, FL 33125-3355

Mailing address

60 NW 37TH Ave Apt 501
Miami, FL 33125-4834
Phone (305) 890-9691

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
OT5689FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Viva Therapy Services CurrentSince Aug 23, 2020 Accepting new patients

Locations

454 NW 22nd Ave
Ste 108
Miami, FL 33125
Phone (305) 890-9691

Organizations & group practices 1

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1275833964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NW 37TH AVE APT 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254834",
            "telephone_number": "305-890-9691",
            "fax_number": "305-647-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 NW 22ND AVE STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253355",
            "telephone_number": "305-890-9691",
            "fax_number": "305-647-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT5689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.