Individual provider Active NPI

Michael Albert Kachman, OTR/L, CHT

  • Hand Occupational Therapist
  • Greenville, NC
National Provider Identifier
1477713592
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
AA381277 Issued in NC
Practice address
1038 W H Smith Blvd
Unit 101
Greenville, NC 27834-5051
Phone
(252) 757-1691
Fax
(888) 430-0123
NPI assigned
Jun 12, 2008
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 3569 NC
Hand Occupational Therapist 225XH1200X AA381277 NC Primary

Addresses

Primary practice location

1038 W H Smith Blvd
Unit 101
Greenville, NC 27834-5051

Mailing address

1038 W H Smith Blvd
Unit 101
Greenville, NC 27834-5051
Phone (252) 757-1691

Other identifiers 1

IdentifierTypeStateIssuer
7301085MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000805 NC Practitioner - Occupational Therapist in Private Practice 3577692581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1038 WH Smith Blvd
Suite 101
Greenville, NC 27834-5429
Phone (252) 757-1691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3569NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Occupational Therapy of Greenville, Inc Hand CurrentSince Apr 29, 2010 Accepting new patients

Locations

1038 Wh Smith Blvd
Ste 101
Greenville, NC 27834
Phone (252) 757-1691

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1477713592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 W H SMITH BLVD",
            "address_2": "UNIT 101",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345051",
            "telephone_number": "252-757-1691",
            "fax_number": "888-430-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 W H SMITH BLVD",
            "address_2": "UNIT 101",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345051",
            "telephone_number": "252-757-1691",
            "fax_number": "888-430-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "3569",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NC",
            "license": "AA381277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.