Individual provider Active NPI

Malgorzata Anna Szelwach, OTD, OTR/L

  • Occupational Therapist
  • Leland, NC
National Provider Identifier
1164843710
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13806 Issued in NC
Practice address
1168 E Cutlar Xing
Leland, NC 28451-6484
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Dec 29, 2013
Reactivated
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20453 FL
Other Technician 247200000X
Occupational Therapist 225X00000X 13806 NC Primary

Addresses

Primary practice location

1168 E Cutlar Xing
Leland, NC 28451-6484

Mailing address

1168 E Cutlar Crossing
Leland, NC 28451-6484
Phone (910) 332-3800

Other practice location 1

2745 Alexandra Dr
Erie, PA 16506-5049
Phone (814) 836-8113

Other practice location 2

1590 State Rt 15A Suite B
DeLand, FL 32720
Phone (386) 734-9400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000470 NC Practitioner - Physical Therapist in Private Practice 5698183838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1168 E Cutlar Xing
Leland, NC 28451-6426
Phone (919) 220-5255

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20453FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Occupational Therapist CurrentSince Mar 22, 2021 Accepting new patients
Emergeortho PA CurrentSince Mar 22, 2021 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1168 E Cutlar Crossing
Leland, NC 28451
Phone (814) 836-8113

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Organizations & group practices 2

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": "1388275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1164843710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR CROSSING",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516484",
            "telephone_number": "910-332-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516484",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2745 Alexandra Dr",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165065049",
            "country_code": "US",
            "telephone_number": "814-836-8113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 State Rt 15A Suite B",
            "address_purpose": "LOCATION",
            "city": "DeLand",
            "state": "FL",
            "postal_code": "32720",
            "country_code": "US",
            "telephone_number": "386-734-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZELWACH",
        "first_name": "MALGORZATA",
        "middle_name": "ANNA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-29",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "deactivation_date": "2019-11-25",
        "reactivation_date": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20453",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

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