Active NPI
Jessica Pacheco, MOT, OTR/L
- Occupational Therapist
- Watertown, MA
National Provider Identifier
1508162918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10260
- Practice address
- 124 Watertown St
Suite 1
Watertown, MA 02472-2576 - Phone
- (617) 923-4410
- Fax
- (617) 923-0468
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- 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 | 10260 | MA | Primary |
Addresses
Primary practice location
124 Watertown St
Suite 1
Watertown, MA 02472-2576
Mailing address
124 Watertown St
Suite 1
Watertown, MA 02472-2576
Phone (617) 923-4410
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 |
|---|---|---|---|
| 10260 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1508162918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 WATERTOWN ST",
"address_2": "SUITE 1",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722576",
"telephone_number": "617-923-4410",
"fax_number": "617-923-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 WATERTOWN ST",
"address_2": "SUITE 1",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722576",
"telephone_number": "617-923-4410",
"fax_number": "617-923-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "JESSICA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.