Jerry Pasol, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1262 Issued in AK

Practice address

6613 Brayton Dr Ste a
Anchorage, AK 99507-2153

Phone

(907) 334-9002

Fax

(907) 334-9320

NPI assigned

Aug 11, 2008

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Functional Therapy

  • Pediatric Physical Therapist
  • Anchorage, AK
  • NPI 1083759021
  NPD (past) Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1760638738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113394",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995113394",
            "telephone_number": "907-334-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 BRAYTON DR STE A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072153",
            "telephone_number": "907-334-9002",
            "fax_number": "907-334-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASOL",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT45641",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Pascual, PHARMD
• Faamalie Pasene
• Jeremiah Sapati Pasi
• Samantha Pasiewicz, NNP
• Nina Maria Pasin, OD
• Coralie Passalacqua-Santiago
• Tanya Pasternack, MD
• Janet Susan Pasternak
• Raymond Pastorino, PHD
• Mirage Emil Patel, PHARMACIST

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

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