Individual provider Active NPI

Robert Swider, OTR/L, CHT

  • Hand Occupational Therapist
  • Coeur D Alene, ID
National Provider Identifier
1306851969
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT-705 Issued in ID
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

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20070307000661 ID Practitioner - Occupational Therapist in Private Practice 9335242502 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OT-705IDMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Hand & Upper Extremity Therapy DME Current Accepting new patients
Idaho Hand & Upper Extremity Therapy Occupational Therapist CurrentSince Sep 3, 2010 Accepting new patients
North Idaho Hand Rehabilitation, PLLC Hand PastSince Dec 4, 2006 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.

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.

Verify at the official NPI Registry.