Ultracare, P.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ULTRACARE, P.C.

Practice address

157 Main St
Brockton, MA 02301-4012

Phone

(508) 510-4221

Fax

(508) 510-5126

NPI assigned

Apr 25, 2014

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Pacheco

Title

Billing/Credentialing

Phone

(508) 675-2840

Specialties & licenses 4

Addresses

Tax ID family

Ultracare PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ultracare, P.C.

  • Physical Therapist
  • Brockton, MA
  • NPI 1154728731
  NPD tax ID
• Ultracare, P.C.

  • Chiropractor
  • Brockton, MA
  • NPI 1972900553
  NPD tax ID

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1992125215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4137",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023034137",
            "telephone_number": "508-510-4221",
            "fax_number": "508-510-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014012",
            "telephone_number": "508-510-4221",
            "fax_number": "508-510-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "508-675-2840"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith Ultimo, RN
• Ultracare, P.C.
• Ultracare, P.C.
• Unicorn Counseling Services
• Unified Family& Youth Network Inc
• Nancy Ann Unis
• Unlimited Behavioral Health Services
• Unlimited Behavioral Health Services of Massachusetts, LLC

• Physician Assistant in Brockton, MA
• Providers in Brockton, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.