Nicole Marie Pandak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213026 Issued in VA

Practice address

8191 Staples Mill Rd
Henrico, VA 23228-2751

Phone

(804) 523-2653

NPI assigned

Sep 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Lawrence Rehabilitation Specialists IncGroup PAC ID 8628172269, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.82 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

79.41

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lawrence Rehabilitation Specialists , Inc

  dba Lawrence Rehabilitation - The Gait Center

  • Rehabilitation Clinic/Center
  • Richmond, VA
  • NPI 1558444513

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1871143511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 FAVERO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337037",
            "telephone_number": "804-360-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282751",
            "telephone_number": "804-523-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDAK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin K Paczkowski, LMT
• Roxana Paduretu, LMT
• Page Improvements LLC
• Edin Pajalic, LCSW
• Kelly Ann Palmer, PHARMD
• Serina Marie Pangelinan, LPC, MS IN CMHC
• Kenneth Pankey, B.A QMHP-A
• Parastu Mirmonsef, DDS, PLLC
• Lisa Parise
• Grace Park

• Physical Therapist in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.