Individual provider Active NPI

Megan Pacetti, ATC, MS

  • Athletic Trainer
  • San Antonio, TX
National Provider Identifier
1528515244
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT8431 Issued in TX
Practice address
3010 W Loop 1604 N Apt 6305
San Antonio, TX 78251-3930
Phone
(708) 837-9721
NPI assigned
Sep 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X AT8431 TX Primary

Addresses

Primary practice location

3010 W Loop 1604 N Apt 6305
San Antonio, TX 78251-3930

Mailing address

3010 W Loop 1604 N Apt 6305
San Antonio, TX 78251-3930
Phone (708) 837-9721

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT8431TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1528515244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W LOOP 1604 N APT 6305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513930",
            "telephone_number": "708-837-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W LOOP 1604 N APT 6305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513930",
            "telephone_number": "708-837-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACETTI",
        "first_name": "MEGAN",
        "credential": "ATC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-10",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT8431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.