Active NPI
Robert Swider, OTR/L, CHT
- Hand Occupational Therapist
- Coeur D Alene, ID
National Provider Identifier
1306851969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT-705
- Practice address
- 920 W Ironwood Dr Ste 207
Coeur D Alene, ID 83814-2643 - Phone
- (208) 664-0575
- Fax
- (208) 664-0576
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT-705 | ID | Primary |
Addresses
Primary practice location
920 W Ironwood Dr Ste 207
Coeur D Alene, ID 83814-2643
Mailing address
PO Box 83
Hayden, ID 83835-0083
Phone (208) 651-4551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
920 W Ironwood Dr
Suite 207
Coeur D Alene, ID 83814-2643
Phone (208) 664-0575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-705 | ID | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Hand & Upper Extremity Therapy DME | Current | Accepting new patients | |
| Idaho Hand & Upper Extremity Therapy | Occupational Therapist | Current | Accepting new patients |
| North Idaho Hand Rehabilitation, PLLC | Hand | Past | Accepting new patients |
Locations
920 W Ironwood Dr
Ste 207
Coeur D Alene, ID 83814
Phone (208) 651-4551
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.
-
- Hand Occupational Therapist
- Coeur D Alene, ID
- NPI 1699087346
-
- Durable Medical Equipment & Medical Supplies
- Coeur D Alene, ID
- NPI 1710226220
-
- Hand Occupational Therapist
- Coeur D Alene, ID
- NPI 1316006182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1306851969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838350083",
"telephone_number": "208-651-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W IRONWOOD DR STE 207",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142643",
"telephone_number": "208-664-0575",
"fax_number": "208-664-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIDER",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "OTR/L, CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "ID",
"license": "OT-705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.