Active NPI
Brittany Hope Pacheco, PTA
- Physical Therapy Assistant
- Lubbock, TX
National Provider Identifier
1477079747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2132500
- Practice address
- 2431 S Loop 289
Lubbock, TX 79423-1519 - Phone
- (806) 771-8008
- Fax
- (806) 771-8009
- NPI assigned
- Aug 18, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2132500 | TX | Primary |
Addresses
Primary practice location
2431 S Loop 289
Lubbock, TX 79423-1519
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
Other practice location 1
4642 N Loop 289 Ste 205
Lubbock, TX 79416-2424
Phone (806) 771-1352
Other practice location 2
6202 82nd St
Lubbock, TX 79424-3691
Phone (806) 687-8008
Other practice location 3
4138 19th St
Lubbock, TX 79407-2403
Phone (806) 780-2329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2132500 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477079747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
}
],
"practiceLocations": [
{
"address_1": "4642 N Loop 289 Ste 205",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794162424",
"country_code": "US",
"telephone_number": "806-771-1352",
"fax_number": "806-771-1356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6202 82nd St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794243691",
"country_code": "US",
"telephone_number": "806-687-8008",
"fax_number": "806-687-8009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4138 19th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794072403",
"country_code": "US",
"telephone_number": "806-780-2329",
"fax_number": "806-780-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACHECO",
"first_name": "BRITTANY",
"middle_name": "HOPE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2132500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.