Active NPI
Southeastern Orthopaedics
Doing business as Southeastern Hand and Occupational Therapy
- Occupational Therapist
- Gastonia, NC
National Provider Identifier
1467406041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 320
- Legal business name
- SOUTHEASTERN ORTHOPAEDICS
- Doing business as
- Southeastern Hand and Occupational Therapy
- Practice address
- 760 N New Hope Rd
Suite a
Gastonia, NC 28054 - Phone
- (704) 866-8976
- Fax
- (704) 866-8680
- NPI assigned
- May 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Scott McMahan
- Title
- Administrator
- Phone
- (704) 866-8976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 320 | NC | Primary |
Addresses
Primary practice location
760 N New Hope Rd
Suite a
Gastonia, NC 28054
Mailing address
760 N New Hope Rd
Suite a
Gastonia, NC 28054
Phone (704) 866-8976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014C3 | Other | NC | BCBS INDIVIDUAL |
Other names 1
- Southeastern Hand and Occupational Therapy
National Provider Directory
National Provider DirectoryLocations
760 N New Hope Rd
Ste A
Gastonia, NC 28054
Phone (704) 810-9133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467406041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 N NEW HOPE RD",
"address_2": "SUITE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-866-8976",
"fax_number": "704-866-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 N NEW HOPE RD",
"address_2": "SUITE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-866-8976",
"fax_number": "704-866-8680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN ORTHOPAEDICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-866-8976",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "014C3",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeastern Hand and Occupational Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gastonia, NC
- Cheryl Crickmore Sorrells, RPH
- Sarah McKenzie Sorrels
- Justin Royal Sotomayor, PHARM.D.
- Melanie Sotomayor, PHARM D
- Lee Aaron Sousa
- Southeastern Plastic Surgery PC (Southeastern Hand Center & Occupational Therapy)
- Southeastern Plastic Surgery PC
- Southeastern Specialist Clinic
- Southern Assisted Living, LLC. (Brookdale Union)
- Southern Assisted Living, LLC. (Brookdale New Hope)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.