Stanton Swanson, MS, OTR

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT24976 Issued in FL

Practice address

305 Dunwoody Chace
Sandy Springs, GA 30328-4587

Phone

(678) 773-9564

NPI assigned

Jul 16, 2017

Last updated

Jun 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Cognition Clinic, LLC

  • Rehabilitation Practitioner
  • St Petersburg, FL
  • NPI 1184466187
  NPD Authorized official
• Functional Living

  • Occupational Therapist
  • Sandy Springs, GA
  • NPI 1629511555
  Authorized official Same address or phone

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1043732514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 92ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337023033",
            "telephone_number": "678-773-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 DUNWOODY CHACE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284587",
            "telephone_number": "678-773-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "STANTON",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-16",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006296",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT24976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indu Sundararajan, M.D
• Sunflower Steps Therapy LLC
• Susan G. Rifkin, DDS and Associates PC
• Shilesh J Sutaria
• Dawn Monique Sutton, LMT
• David Aaron Swift, MD
• Deshauna Swinney
• Blair Symington, COA
• Synapse Neurorehab and Wellness LLC
• Synergy Medical Group, LLC

• Gerontology Occupational Therapist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Gerontology Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.