Joanna Kathrina Repollo Paca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041207 Issued in NY

Practice address

1150 Pelham Pkwy S Apt 6E
Bronx, NY 10461-1032

Phone

(203) 430-4304

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1518670686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PELHAM PKWY S APT 6E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611032",
            "telephone_number": "203-430-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PELHAM PKWY S APT 6E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611032",
            "telephone_number": "203-430-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACA",
        "first_name": "JOANNA KATHRINA",
        "middle_name": "REPOLLO",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041207",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "041207",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "013378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Pabon, LMSW
• Lydia Pabon
• Maria Pabon
• Sandra Pabon, OTR/L
• Bhakti Chetan Pabrekar, P.T
• Gerald A Paccione, MD
• Filomena Pace-Berganza, BS-RPH
• Jillian Marie Pacella, FNP-BC
• Diana Deasen Pache, LMSW
• Marisol Pacheco Borrero, MSW

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.