Individual provider Active NPI

Seema Moreno, O.T.R/L

  • Occupational Therapist
  • Jackson, GA
National Provider Identifier
1649223587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT002221 Issued in GA
Practice address
375 McDonough Rd
Jackson, GA 30233-1509
Phone
(770) 775-4622
Fax
(770) 775-4132
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT002221 GA Primary

Addresses

Primary practice location

375 McDonough Rd
Jackson, GA 30233-1509

Mailing address

375 McDonough Rd
Jackson, GA 30233-1509
Phone (770) 775-4622

Other names 1

  • Seema Summan Former name

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
OT002221GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maldonado & Moreno, PC Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649223587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331509",
            "telephone_number": "770-775-4622",
            "fax_number": "770-775-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MCDONOUGH RD",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331509",
            "telephone_number": "770-775-4622",
            "fax_number": "770-775-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SEEMA",
        "credential": "O.T.R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEEMA",
            "last_name": "SUMMAN",
            "credential": "O.T.R/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.