Individual provider Active NPI

Sydney Swoger

  • Occupational Therapist
  • Dunkirk, NY
National Provider Identifier
1154130854
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029784 Issued in NY
Practice address
186 Lake Shore Dr W
Dunkirk, NY 14048-1437
Phone
(716) 661-1541
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 029784 NY Primary

Addresses

Primary practice location

186 Lake Shore Dr W
Dunkirk, NY 14048-1437

Mailing address

186 Lake Shore Dr W
Dunkirk, NY 14048-1437
Phone (716) 661-4839

Other practice location 1

75 Jones and Gifford Ave
Jamestown, NY 14701-2828
Phone (716) 661-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212002405 NY Practitioner - Occupational Therapist in Private Practice 0244760775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua County Chapter of Nysarc IncGroup PAC ID 9234452947, 11 clinicians

Practice addresses (Care Compare)

75 Jones and Gifford Ave
Jamestown, NY 14701-2828
Phone (716) 661-1406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029784NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua County Chapter of Nysarc Inc CurrentSince Mar 10, 2025 Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center Current Accepting new patients
Chautauqua County Chapter of Nysarc Inc Current Accepting new patients
Chautauqua County Chapter of Nysarc Inc. CurrentSince Mar 10, 2025 Accepting new patients

Locations

186 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6125

200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1154130854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 LAKE SHORE DR W",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140481437",
            "telephone_number": "716-661-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 LAKE SHORE DR W",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140481437",
            "telephone_number": "716-661-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Jones and Gifford Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012828",
            "country_code": "US",
            "telephone_number": "716-661-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOGER",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.