Active NPI
Larissa P Swan, MS,OTR/L
- Occupational Therapist
- Greenwood, IN
National Provider Identifier
1124281787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31002041A
- Practice address
- 377 Westridge Blvd
Greenwood, IN 46142-2137 - Phone
- (317) 888-4948
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31002041A | IN | Primary |
Addresses
Primary practice location
377 Westridge Blvd
Greenwood, IN 46142-2137
Mailing address
6356 Deerfield Dr
Greenwood, IN 46143-9151
Phone (317) 859-2196
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31002041A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1124281787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6356 DEERFIELD DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439151",
"telephone_number": "317-859-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 WESTRIDGE BLVD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461422137",
"telephone_number": "317-888-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAN",
"first_name": "LARISSA",
"middle_name": "P",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31002041A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.