MR. NATHAN PACK MA, OTRL
NPI 1710028485
Occupational Therapist in Pecos, NM

Active since February 08, 2007
NORTH HIGHWAY 63, PECOS, NM 87552(505) 757-4606 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Nathan Pack Ma, Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHAN PACK MA, OTRL (NPI 1710028485) is an individual occupational therapist in Pecos, New Mexico, licensed in New Mexico (2311) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1710028485
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. NATHAN PACKCredential: MA, OTRL
Location AddressNORTH HIGHWAY 63Pecos, NM 87552-0368
Mailing Address509 Paige LoopLos Alamos, NM 87544-3622 · (505) 672-9370
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1710028485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NM · 2311
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
NORTH HIGHWAY 63, Pecos, NM 87552

Other Identifiers 1

Medicaid95307257NM

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
NORTH HIGHWAY 63, PANTHER PARKWAY
PECOS, NM 87552
Registered Nurse (School)
NORTH HIGHWAY 63
PECOS, NM 87552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Pack's NPI number?

The NPI number for Nathan Pack is 1710028485. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Nathan Pack located?

Nathan Pack practices at North Highway 63, Pecos, NM 87552. The listed phone number is (505) 757-4606.

What is Nathan Pack's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Nathan Pack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.