Individual provider Active NPI

Kyle Swanson, OT, ATC

  • Occupational Therapist
  • Harrisburg, PA
National Provider Identifier
1386041473
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018314 Issued in PA
Practice address
4033 Linglestown Rd
Harrisburg, PA 17112-1153
Phone
(717) 920-5002
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126002025 VA
Occupational Therapist 225X00000X OC018314 PA Primary

Addresses

Primary practice location

4033 Linglestown Rd
Harrisburg, PA 17112-1153

Mailing address

6959 Wertzville Rd
Enola, PA 17025-1039

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KySwanson@selectmedical.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526000026 PA Practitioner - Occupational Therapist in Private Practice 2668838152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0126002025VAMDAthletic Trainer
OC018314PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PHS Physical Therapy, LLC Occupational Therapist CurrentSince Apr 15, 2023 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
PHS Physical Therapy, LLC PastSince Mar 6, 2022 Accepting new patients

Locations

950 Walnut Bottom Rd
Ste 19
Carlisle, PA 17015
Phone (717) 245-0610

950 Walnut Bottom Rd
Ste 1920
Carlisle, PA 17015
Phone (717) 245-0610

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Interoperability endpoints

  • Direct secure messaging: kyswanson@selectmedical.com

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1386041473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6959 WERTZVILLE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121153",
            "telephone_number": "717-920-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KYLE",
        "credential": "OT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002025",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KySwanson@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "Company e-mail",
            "address_1": "4033 Linglestown Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171121153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.