Individual provider Active NPI

Swapaninderdeep Kaur, O.T.

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1093900524
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002390 Issued in MI
Practice address
4005 Mont Katnich CT NE
Grand Rapids, MI 49525-3426
Phone
(616) 780-6680
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002390 MI Primary

Addresses

Primary practice location

4005 Mont Katnich CT NE
Grand Rapids, MI 49525-3426

Mailing address

4005 Mont Katnich CT NE
Grand Rapids, MI 49525-3426
Phone (616) 780-6680

Other practice location 1

1257 Apple Creek Dr SE
Grand Rapids, MI 49546-8268
Phone (616) 285-0746

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1093900524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MONT KATNICH CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495253426",
            "telephone_number": "616-780-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MONT KATNICH CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495253426",
            "telephone_number": "616-780-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 Apple Creek Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468268",
            "country_code": "US",
            "telephone_number": "616-285-0746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SWAPANINDERDEEP",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.