The Swinging Bridge, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

KY-R0740 Issued in KY

Legal business name

THE SWINGING BRIDGE, LLC

Practice address

133 Doris CT
Elizabethtown, KY 42701-9548

Phone

(270) 737-4556

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Ann Shearer, OTLNPI 1013078328

Title

President

Phone

(270) 737-4556

Specialties & licenses 1

Addresses

Other names 1

• Pam Shearer Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela A Shearer, OTRL

  • Occupational Therapist
  • Elizabethtown, KY
  • NPI 1013078328
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083832000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DORIS CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019548",
            "telephone_number": "270-737-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 DORIS CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019548",
            "telephone_number": "270-737-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SWINGING BRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-737-4556",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KY-R0740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pam Shearer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.