Individual provider Active NPI

Carly Morgan Schwam

  • Occupational Therapist
  • Bellefonte, PA
National Provider Identifier
1235927666
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010912 Issued in VA
Practice address
172 Dorchester LN
Bellefonte, PA 16823-8414
Phone
(804) 484-4132
NPI assigned
Apr 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119010912 VA Primary
Occupational Therapist 225X00000X OC19397 PA

Addresses

Primary practice location

172 Dorchester LN
Bellefonte, PA 16823-8414

Mailing address

172 Dorchester LN
Bellefonte, PA 16823-8414
Phone (804) 484-4132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250701001066 VA Practitioner - Occupational Therapist in Private Practice 6103339361 Reassigns benefits to 1 organization
I20251223003919 DC Practitioner - Occupational Therapist in Private Practice 6103339361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

2030 Westmoreland St
Falls Church, VA 22043-1768
Phone (703) 237-4550

4435 N Pershing Dr
Arlington, VA 22203-2748
Phone (571) 800-8693

9229 Arlington Blvd
Fairfax, VA 22031-2504
Phone (703) 424-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC19397PAMDOccupational Therapist
0119010912VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince May 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

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": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1235927666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 DORCHESTER LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238414",
            "telephone_number": "804-484-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 DORCHESTER LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168238414",
            "telephone_number": "804-484-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAM",
        "first_name": "CARLY",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010912",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC19397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefonte, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.