IndividualActive
Nathan Pack, MA, OTRL
NPI 1710028485 · Occupational Therapist · Pecos, NM
Provider details
- NPI number
- 1710028485
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA, OTRL
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2311 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
North Highway 63
Pecos, NM 87552-0368
Phone: (505) 757-4606
Approximate (ZIP-level) locationGet directions
Mailing address
509 Paige Loop
Los Alamos, NM 87544-3622
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.