NPIMap

Organization Active NPI

Swan Therapy Group LLC

  • Behavior Analyst
  • Maricopa, AZ
National Provider Identifier
1316718786
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SWAN THERAPY GROUP LLC
Practice address
19342 N Maricopa Rd Ste 100
Maricopa, AZ 85139-2856
Phone
(480) 687-8512
Fax
(602) 878-9713
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Pamela Miller
Title
Coo
Phone
(480) 687-8512

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

19342 N Maricopa Rd Ste 100
Maricopa, AZ 85139-2856

Mailing address

8777 E Via de Ventura Ste 315
Scottsdale, AZ 85258-3371
Phone (480) 687-8512

National Provider Directory

National Provider Directory
Tax ID family
Swan Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19342 N Maricopa Rd
Ste 100
Maricopa, AZ 85139
Phone (480) 687-8512

8777 E Via de Ventura
Ste 315
Scottsdale, AZ 85258

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1316718786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 E VIA DE VENTURA STE 315",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583371",
            "telephone_number": "480-687-8512",
            "fax_number": "602-878-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19342 N MARICOPA RD STE 100",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392856",
            "telephone_number": "480-687-8512",
            "fax_number": "602-878-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-687-8512"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.