Kaltrina Pacuku

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

46TR00719900 Issued in NJ

Practice address

1111 Marlkress Rd
Suite 103
Cherry Hill, NJ 08003-2334

Phone

(856) 424-5552

Fax

(856) 424-5559

NPI assigned

Feb 2, 2016

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)

Enrolled

State licenses

Practice roles

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.

• Exercise Care and Orthopedics, LLC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1396999231
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1285092536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LENNOX AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431264",
            "telephone_number": "856-630-9713",
            "fax_number": "856-424-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARLKRESS RD",
            "address_2": "SUITE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032334",
            "telephone_number": "856-424-5552",
            "fax_number": "856-424-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACUKU",
        "first_name": "KALTRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00719900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darice Pacheco
• Devan Pacheco, PMHNP-BC
• Jennifer Pacheco
• Pacific Light Recovery Center
• Arvin Pacis
• Katlyn Pagaduan
• Alexander Pagan
• Abigail A Pagano, PT, DPT
• Rebecca Page, DPT
• Cher L Paget, LCSW

• Neurorehabilitation Occupational Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Neurorehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.