Michael R Pacifico, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

429 S Market St
Martinsburg, PA 16662-1005

Phone

(814) 793-2104

NPI assigned

Oct 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1568834745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S MARKET ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S MARKET ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621005",
            "telephone_number": "814-793-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7448 Woodbury Pike",
            "address_purpose": "LOCATION",
            "city": "Roaring Spring",
            "state": "PA",
            "postal_code": "166731600",
            "country_code": "US",
            "telephone_number": "814-224-5566",
            "fax_number": "814-224-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACIFICO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "00013441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Dawn Miller, COTA
• Chloe Elizabeth Moyer, PTA
• Murray S Smith Family and Laser Dentistry Inc
• Jacob Murray
• Julie Nelson, H.I.S.
• Premise Health of Pennsylvania Medical PC
• Stephanie Regan
• Mark Robine
• Meghan Brooke Schon, CRNP
• Stephen Paul Schon, D.C.

• Occupational Therapist in Martinsburg, PA
• Providers in Martinsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.