Individual provider Active NPI

Michael Pacheco, PT

  • Physical Therapist
  • Coppell, TX
National Provider Identifier
1356009922
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37976 Issued in FL
Practice address
3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473
Phone
(866) 221-5405
NPI assigned
Dec 1, 2021
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0018806 CO
Physical Therapist 225100000X PT37976 FL Primary

Addresses

Primary practice location

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473

Mailing address

4804 NW 119TH St
Gainesville, FL 32653-3600
Phone (786) 260-4135

Other practice location 1

420 E 120th Ave Ste B8
Northglenn, CO 80233-1100
Phone (303) 280-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220720001619 DC Practitioner - Physical Therapist in Private Practice 6103217419 Reassigns benefits to 1 organization
I20250721003744 CO Practitioner - Physical Therapist in Private Practice 6103217419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

375 E Horsetooth Road
BLDG 4 Suite 104 SE PT
Fort Collins, CO 80525
Phone (970) 286-2868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018806COMDPhysical Therapist
PT37976FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Aug 18, 2019 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 22, 2022 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jun 11, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Jun 11, 2025 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Aug 1, 2018 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Mar 28, 2021 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Oct 1, 2019 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

375 E Horsetooth Rd
Ste 104
Fort Collins, CO 80525
Phone (970) 286-2868

375 E Horsetooth Rd
Ste 4
Fort Collins, CO 80525
Phone (970) 286-2868

838 W Drake Rd
Ste 105
Fort Collins, CO 80526
Phone (970) 294-4197

400 Indiana St
Ste 340
Golden, CO 80401
Phone (720) 452-1267

255 Union Blvd
Ste 110
Lakewood, CO 80228
Phone (303) 232-0355

3880 Grant Ave
Ste 100
Loveland, CO 80538
Phone (970) 663-7780

420 E 120th Ave
Ste B8
Northglenn, CO 80233
Phone (303) 280-3838

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

7777 W 38th Ave
Unit A124
Wheat Ridge, CO 80033
Phone (303) 940-0757

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Networks

  • Freedom Health HMO Network

Organizations & group practices 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1356009922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 NW 119TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533600",
            "telephone_number": "786-260-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD STE 500",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195473",
            "telephone_number": "866-221-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 120th Ave Ste B8",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331100",
            "country_code": "US",
            "telephone_number": "303-280-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018806",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.