Mary E Swanson, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056012915 Issued in IL

Practice address

4710 W 95TH St
Oak Lawn, IL 60453-2453

Phone

(708) 422-2960

Fax

(708) 422-3001

NPI assigned

Jul 21, 2020

Last updated

Jun 23, 2021By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Neurology Physician
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  • NPI 1720290588
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1356959738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532453",
            "telephone_number": "708-422-2960",
            "fax_number": "708-422-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532453",
            "telephone_number": "708-422-2960",
            "fax_number": "708-422-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MOT,  OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgery Center of Illinois LLC
• Surgical Partners
• Susan C Apolinario (Susan Chua Apolinario, M.D.)
• Suzanne Pharmacy Inc. (Crescent Pharmacy)
• Suzanne Pharmacy Inc.
• Jill Sweeney, OTR/L
• Robert Sweet, D.P.T
• Rochelle Tayel Sweis
• Rolla Tayel Sweis, PHARMD
• Marlena Sweiss, APN

• Occupational Therapist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.