Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MIKA LEY CYRUS PACIFICO, OTR
Deactivated Sole ProprietorMRS. MIKA LEY CYRUS PACIFICO, OTR is a Occupational Therapist healthcare provider located in FORT STEWART, Georgia. NPI 1154929941 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT STEWART, GA
This NPI has been deactivated.
The record was deactivated on July 15, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1154929941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2020 (1.7534246575342 yrs)
- Last Updated
- Mar 11, 2024
- Deactivated
- Jul 15, 2022
- License
-
21681 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1061 HARMON AVEFORT STEWART, GA, 313145641Browse GA providers · Browse ZIP 31314
- Phone
- 9124356965
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FORT STEWART, GA
| Name | Credential | NPI |
|---|---|---|
| KATHY BARBARA GREENE | MA, OTR/L | 1194907691 |
| LAUREN ELIZABETH GEDDIS | OTR/L | 1881827913 |
| ANITA MARIE MARYNOWSKI | OTR/L | 1851606792 |
| MR. TIMOTHY GERARD RUFF JR. | OTR | 1306180393 |
| MRS. KIMBERLY CATO | OTR/L | 1124451703 |
| ELAINA BURDEN-FORCE | — | 1073944336 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.