Individual provider Active NPI

Iieana Seoane McCaigue, OTR/L, CDRS

  • Occupational Therapist
  • Suwanee, GA
National Provider Identifier
1679674592
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000131 Issued in GA
Practice address
2582 Collins Port CV
Suwanee, GA 30024-2785
Phone
(404) 422-2931
Fax
(770) 338-0107
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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 000131 GA Primary

Addresses

Primary practice location

2582 Collins Port CV
Suwanee, GA 30024-2785

Mailing address

P. O. Box 1658
Suwanee, GA 30024-2785
Phone (404) 422-2931

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
000131GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1679674592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 1658",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242785",
            "telephone_number": "404-422-2931",
            "fax_number": "770-338-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2582 COLLINS PORT CV",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242785",
            "telephone_number": "404-422-2931",
            "fax_number": "770-338-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIGUE",
        "first_name": "IIEANA",
        "middle_name": "SEOANE",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CDRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "000131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.