Carla Swanson, O.T.

Key facts

NPI

1013086149

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

101904 (MN)

Practice address

450 Eastvold Ave
Ortonville, MN 56278-1252

Phone

(320) 839-4150

Fax

(320) 839-4196

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• BST Morris LLC Physical Therapist · Morris, MN · NPI 1124216536
  NPD (past) OCCUPATIONAL THERAPIST
• Big Stone Therapies, Inc Physical Therapy Clinic/Center · Big Stone City, SD · NPI 1124044656
  NPD (past) OCCUPATIONAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2007.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1013086149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ROY ST",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781138",
            "telephone_number": "320-839-4087",
            "fax_number": "320-839-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781252",
            "telephone_number": "320-839-4150",
            "fax_number": "320-839-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CARLA",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101904",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven G. Winther, D.D.S.
• Donna K Strandberg, LPCC
• Brittany Lynn Swigerd, RN
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• Paul Treinen, P.T.
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All providers in Ortonville, MN · Occupational Therapist in Minnesota