Healthcare Provider Details

I. General information

NPI: 1801471594
Provider Name (Legal Business Name): NICHOLAS CAGGIANO OTD, OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date: 12/02/2025
Reactivation Date: 12/16/2025

III. Provider practice location address

104 TOWERVIEW CT
CARY NC
27513-3595
US

IV. Provider business mailing address

506 N GREENSBORO ST APT 45
CARRBORO NC
27510-1777
US

V. Phone/Fax

Practice location:
  • Phone: 984-477-0803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18175
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: