Individual provider Active NPI

Noelle Pacer, OTR/L

  • Pediatric Occupational Therapist
  • East Rochester, NY
National Provider Identifier
1487976015
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
002323-1 Issued in NY
Practice address
349 W Commercial St
Suite 2795
East Rochester, NY 14445-2407
Phone
(585) 340-2000
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 002323-1 NY Primary

Addresses

Primary practice location

349 W Commercial St
Suite 2795
East Rochester, NY 14445-2407

Mailing address

5 Bright Oaks Cir
Rochester, NY 14624-4705
Phone (585) 247-5973

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
002323-1NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Christian Services Inc Past Accepting new patients

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1487976015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRIGHT OAKS CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244705",
            "telephone_number": "585-247-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 W COMMERCIAL ST",
            "address_2": "SUITE 2795",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144452407",
            "telephone_number": "585-340-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACER",
        "first_name": "NOELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "002323-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.