Active NPI
Denae Genesis Pacheco, OT
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1366429896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012422
- Practice address
- 1221 Jerome Ave
Bronx, NY 10452-3301 - Phone
- (718) 538-8343
- Fax
- (718) 538-8356
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 012422 | NY | Primary |
Addresses
Primary practice location
1221 Jerome Ave
Bronx, NY 10452-3301
Mailing address
120 Newham Ave
Brentwood, NY 11717-5624
Phone (800) 364-0689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012422 | NY | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Rehabilitation Inc | Occupational Therapist | Current | Accepting new patients |
Locations
1221 Jerome Ave
Bronx, NY 10452
Phone (718) 358-8343
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": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366429896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NEWHAM AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117175624",
"telephone_number": "800-364-0689",
"fax_number": "888-552-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104523301",
"telephone_number": "718-538-8343",
"fax_number": "718-538-8356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "DENAE",
"middle_name": "GENESIS",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.