Individual provider Active NPI

Marie Koleka Swanson

  • Pediatric Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1033546841
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2698 Issued in AK
Practice address
8200 Homer Dr Ste F
Anchorage, AK 99518-3330
Phone
(907) 345-0050
Fax
(907) 344-5103
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2698 AK Primary
Occupational Therapist 225X00000X 2698 AK

Addresses

Primary practice location

8200 Homer Dr Ste F
Anchorage, AK 99518-3330

Mailing address

8200 Homer Dr Ste F
Anchorage, AK 99518-3330
Phone (907) 345-0050

Other identifiers 1

IdentifierTypeStateIssuer
536OtherAKSTATE OF ALASKA OT LICENSE

Other names 1

  • Marie Koleka Swanson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1033546841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HOMER DR STE F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183330",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HOMER DR STE F",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183330",
            "telephone_number": "907-345-0050",
            "fax_number": "907-344-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARIE",
        "middle_name": "KOLEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2698",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2698",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA OT LICENSE",
            "identifier": "536",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SWANSON",
            "middle_name": "KOLEKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.