Active NPI
Victoria Jordan Swoboda, MS, OTR/L
- Occupational Therapist
- Leitchfield, KY
National Provider Identifier
1235681479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 170546
- Practice address
- 635 S Main St Ste B
Leitchfield, KY 42754-1056 - Phone
- (270) 287-0656
- NPI assigned
- Nov 3, 2016
- 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 | 170546 | KY | Primary |
Addresses
Primary practice location
635 S Main St Ste B
Leitchfield, KY 42754-1056
Mailing address
7006 Bartlett Rd
Louisville, KY 40218-2787
Phone (502) 377-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Covington, KY 41011
Phone (314) 447-8511
6900 Hopeful Rd
Florence, KY 41042-9448
Phone (859) 205-3904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170546 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Rehab, LLC | Current | Accepting new patients | |
| Early Intervention and Consultation Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
-
dba Eics, LLC
- Adolescent and Children Mental Health Clinic/Center
- Leitchfield, KY
- NPI 1780092957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1235681479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7006 BARTLETT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402182787",
"telephone_number": "502-377-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 S MAIN ST STE B",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541056",
"telephone_number": "270-287-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWOBODA",
"first_name": "VICTORIA",
"middle_name": "JORDAN",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "170546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.