Active NPI
Andrea Malloch-Swiderski, OTR/L
- Occupational Therapist
- Falmouth, MA
National Provider Identifier
1003109174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10030
- Practice address
- 620 Palmer Ave
Unit 2
Falmouth, MA 02540-5103 - Phone
- (508) 540-5559
- Fax
- (508) 540-5660
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10030 | MA | Primary |
| Occupational Therapist | 225X00000X | 3782 | SC |
Addresses
Primary practice location
620 Palmer Ave
Unit 2
Falmouth, MA 02540-5103
Mailing address
620 Palmer Ave
Unit 2
Falmouth, MA 02540-5103
Phone (508) 540-5559
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3782 | SC | MD | Chiropractor |
| 10030 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1003109174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 PALMER AVE",
"address_2": "UNIT 2",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025405103",
"telephone_number": "508-540-5559",
"fax_number": "508-540-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 PALMER AVE",
"address_2": "UNIT 2",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025405103",
"telephone_number": "508-540-5559",
"fax_number": "508-540-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOCH-SWIDERSKI",
"first_name": "ANDREA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "10030",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "3782",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.