Individual provider Active NPI

Michael McCaffrie, CHIROPRACTOR

  • Occupational Therapist
  • Fort Leavenworth, KS
National Provider Identifier
1093148751
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004135 Issued in GA
Practice address
104 Rose Loop
Fort Leavenworth, KS 66027-1212
Phone
(706) 615-9302
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004135 GA Primary
Chiropractor 111N00000X CHIRO009155 GA

Addresses

Primary practice location

104 Rose Loop
Fort Leavenworth, KS 66027-1212

Mailing address

104 Rose Loop
Fort Leavenworth, KS 66027-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO009155GAMDChiropractor
OT004135GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health and Wellness Center, Inc. Chiropractor Past Accepting new patients
Shields Infinity Holistic Health Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1093148751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROSE LOOP",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ROSE LOOP",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271212",
            "telephone_number": "706-615-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFRIE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004135",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.