Active NPI
Marie Swisher
- Occupational Therapist
- Princeton, WI
National Provider Identifier
1205033263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1876-026
- Practice address
- 900 Sunnyview LN
Princeton, WI 54968-9262 - Phone
- (920) 295-6463
- NPI assigned
- Jul 2, 2007
- 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 | 1876-026 | WI | Primary |
Addresses
Primary practice location
900 Sunnyview LN
Princeton, WI 54968-9262
Mailing address
329 S Clinton St
Princeton, WI 54968-8912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40781400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123002342 | NC | Practitioner - Occupational Therapist in Private Practice | 3678974888 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1810 | NC | MD | Chiropractor |
| 1876-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572
186 One Center Ct
Franklin, NC 28734
Phone (828) 270-7679
2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602
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.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
NC
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205033263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S CLINTON ST",
"city": "PRINCETON",
"state": "WI",
"postal_code": "549688912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SUNNYVIEW LN",
"city": "PRINCETON",
"state": "WI",
"postal_code": "549689262",
"telephone_number": "920-295-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISHER",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1876-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40781400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.