Individual provider Active NPI

Connor Vernon Swanson, OTD

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1346742616
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
521 W Saint John Rd
Phoenix, AZ 85023
Phone
(602) 579-6374
NPI assigned
Mar 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

521 W Saint John Rd
Phoenix, AZ 85023

Mailing address

521 W Saint John Rd
Phoenix, AZ 85023-6583
Phone (602) 579-6374

Other practice location 1

14835 N 2nd Pl
Phoenix, AZ 85022-3611
Phone (602) 579-6374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Apr 28, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Apr 28, 2023 Accepting new patients

Locations

3200 E Glenrosa Ave
Phoenix, AZ 85018
Phone (623) 234-8258

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 2

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1346742616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W SAINT JOHN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236583",
            "telephone_number": "602-579-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SAINT JOHN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85023",
            "telephone_number": "602-579-6374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14835 N 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850223611",
            "country_code": "US",
            "telephone_number": "602-579-6374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "CONNOR",
        "middle_name": "VERNON",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.