Organization Active NPI

Pacifica Physio, LLC

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1619724465
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PACIFICA PHYSIO, LLC
Practice address
154 Broad St Ste 1539
Nashua, NH 03063-3205
Phone
(949) 973-5649
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Joselyn Guitron, DPTNPI 1730773185
Title
Physical Therapist/Owner
Phone
(949) 973-5649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

154 Broad St Ste 1539
Nashua, NH 03063-3205

Mailing address

11 Seminole Dr
Nashua, NH 03063-3518
Phone (949) 973-5649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240514002672 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880035484 Receives reassigned benefits from 1 practitioner
Practice locations: Nashua, NH

National Provider Directory

National Provider Directory

Locations

154 Broad St
Ste 1539
Nashua, NH 03063
Phone (949) 973-5649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1619724465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SEMINOLE DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633518",
            "telephone_number": "949-973-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROAD ST STE 1539",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633205",
            "telephone_number": "949-973-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "GUITRON",
        "authorized_official_first_name": "JOSELYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "949-973-5649",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.