Active NPI
Sacha R Macgown
- Occupational Therapist
- Greenwood, MS
National Provider Identifier
1447589775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1347
- Practice address
- 902 SGT John a Pittman Dr
Greenwood, MS 38930-7343 - Phone
- (662) 453-9173
- Fax
- (662) 455-4933
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1347 | MS | Primary |
Addresses
Primary practice location
902 SGT John a Pittman Dr
Greenwood, MS 38930-7343
Mailing address
902 SGT John a Pittman Dr
Greenwood, MS 38930-7343
Phone (662) 453-9173
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT1347 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcorn Rehab Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Corinth, MS
- NPI 1467561670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1447589775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SGT JOHN A PITTMAN DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389307343",
"telephone_number": "662-453-9173",
"fax_number": "662-455-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 SGT JOHN A PITTMAN DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389307343",
"telephone_number": "662-453-9173",
"fax_number": "662-455-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACGOWN",
"first_name": "SACHA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT1347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.