Individual provider Active NPI

Nancy Pachon, RPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1669638532
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7439 Issued in FL
Practice address
6135 NW 167 St
E-28
Miami, FL 33015
Phone
(305) 819-6303
Fax
(305) 819-4005
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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 PT7439 FL Primary

Addresses

Primary practice location

6135 NW 167 St
E-28
Miami, FL 33015

Mailing address

6135 NW 167 St
E-28
Miami, FL 33015
Phone (305) 819-6303

Other identifiers 1

IdentifierTypeStateIssuer
885157300MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
PT7439FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dimension Home Health Care Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1669638532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 NW 167 ST",
            "address_2": "E-28",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-819-6303",
            "fax_number": "305-819-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 NW 167 ST",
            "address_2": "E-28",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-819-6303",
            "fax_number": "305-819-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHON",
        "first_name": "NANCY",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885157300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.