Individual provider Active NPI

Erma Mae Pacheco, PT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1619159936
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2038 Issued in CO
Practice address
2329 W Main St
Ste 102
Littleton, CO 80120-8210
Phone
(303) 797-0988
Fax
(303) 797-8011
NPI assigned
Nov 28, 2007
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2038 CO Primary

Addresses

Primary practice location

2329 W Main St
Ste 102
Littleton, CO 80120-8210

Mailing address

2329 W Main St
Ste 102
Littleton, CO 80120-8210
Phone (303) 797-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000152 CO Practitioner - Physical Therapist in Private Practice 8729043989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Run Collective LLCGroup PAC ID 5799225173, 7 clinicians

Practice addresses (Care Compare)

2329 W Main St
Suite 102
Littleton, CO 80120-8200
Phone (303) 797-0988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2038COMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Ctr for Physical Therapy Physical Therapist CurrentSince Aug 1, 1990 Accepting new patients
Silver Run Collective LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

2329 W Main St
Ste 102
Littleton, CO 80120
Phone (303) 797-0988

2329 W Main St
Ste 211
Littleton, CO 80120
Phone (303) 797-0988

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1619159936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 W MAIN ST",
            "address_2": "STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208210",
            "telephone_number": "303-797-0988",
            "fax_number": "303-797-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 W MAIN ST",
            "address_2": "STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208210",
            "telephone_number": "303-797-0988",
            "fax_number": "303-797-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ERMA",
        "middle_name": "MAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.