Mary Swenson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2016030987 Issued in MO

Practice address

5400 Executive Centre Pkwy
Saint Peters, MO 63376-2594

Phone

(636) 922-7600

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1295285690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SILENT BROOK CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672610",
            "telephone_number": "314-368-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EXECUTIVE CENTRE PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762594",
            "telephone_number": "636-922-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "MARY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2016030987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramez Sunna
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• Surgeon'S First Choice, L.L.C.
• Terry Aurthur Surtin, D.C.
• Andrew John Susuki, DMD
• Ryan Anthony Swier, D.C.
• Caitlin Sykes
• Taylor Szekacs, COTA/L
• T.S. Bogusky, D.D.S., P.C.
• Megan Ta

• Occupational Therapy Assistant in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.