Suzanne Theresa Pacheco, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

9596317 Issued in RI

Practice address

1681 Cranston St
Suite a
Cranston, RI 02920-5000

Phone

(401) 223-0230

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Alpha Physical Therapy, Inc.

  • Physical Therapist
  • Cranston, RI
  • NPI 1316071855
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962575829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CURRAN RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST",
            "address_2": "SUITE A",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-223-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "SUZANNE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "RI",
            "license": "9596317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates, Incorporated
• OT Lactivist LLC
• Gabriel Ernesto Otto
• Brittany Pacheco, BCBA, LBA
• Karen Christine Pacheco, NP
• Pacifica Victoria Court LP
• Ethan Pais, DPM
• Pajotte Transportation LLC
• Paladin Physical Therapy
• Anjali Palav, PHD

• Athletic Trainer in Cranston, RI
• Providers in Cranston, RI by specialty
• Athletic Trainer in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.