Jaclyn Pastena, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-009411 Issued in AZ

Practice address

20588 S Ellsworth Loop Rd Apt 3125
Queen Creek, AZ 85142-0146

Phone

(602) 341-3770

Fax

(602) 560-0504

NPI assigned

Jul 21, 2020

Last updated

Jan 4, 2024By the provider in NPPES

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

Other names 1

• Jaclyn Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Connected Kids Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Queen Creek, AZ
  • NPI 1043918378
  NPD Authorized official
• All for Kids Pediatric Therapy Clinic

  • Pediatric Occupational Therapist
  • Anchorage, AK
  • NPI 1437370855
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1922616374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20588 S ELLSWORTH LOOP RD APT 3125",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420146",
            "telephone_number": "602-341-3770",
            "fax_number": "602-560-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20588 S ELLSWORTH LOOP RD APT 3125",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851420146",
            "telephone_number": "602-341-3770",
            "fax_number": "602-560-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTENA",
        "first_name": "JACLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "WILLIAMS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Panosian, FNP
• Clairissa Patricia Papa, D.M.D.
• Gilbert Cerezo Pascual Jr., RNFA
• Anna Louise Pasquinelli, COTA
• Passport to Behavioral Health LLC
• Pinal Patel, LCSW
• Peace of Mind365
• Peach Tree Dental Group, LLP (Peach Tree Dental Group)
• Peak Solutions Counseling, LLC (Desert Foothills Counseling)
• Pediatric Developmental Connections

• Occupational Therapist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.