Individual provider Active NPI

Cassandra Lee McGillem, OTD, OTR

  • Occupational Therapist
  • Greenwood, IN
National Provider Identifier
1992587653
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31008142A Issued in IN
Practice address
965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274
Phone
(317) 324-3765
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 31008142A IN Primary

Addresses

Primary practice location

965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274

Mailing address

965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023002566 IN Practitioner - Occupational Therapist in Private Practice 4789030081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWW Outpatient Rehab Services, LLCGroup PAC ID 8729333521, 108 clinicians

Practice addresses (Care Compare)

965 Emerson Pkwy
Suite G
Greenwood, IN 46143-6274
Phone (317) 324-3765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Occupational Therapist CurrentSince Oct 16, 2023 Accepting new patients
RWW Outpatient Rehab Services, LLC Occupational Therapist CurrentSince Oct 16, 2023 Accepting new patients

Locations

965 Emerson Pkwy
Ste G
Greenwood, IN 46143
Phone (317) 324-3765

Organizations & group practices 6

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1992587653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 EMERSON PKWY STE G",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 EMERSON PKWY STE G",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436274",
            "telephone_number": "317-324-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLEM",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008142A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.