Nicole Swiderski
Individual provider Active NPI Occupational Therapist · Arlington Heights, IL
NPI 1467007237 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1467007237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056.012726 (IL)
- Practice address
- 1200 N Arlington Heights Rd
Arlington Heights, IL 60004-4741 - Phone
- (847) 392-9000
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012726 | IL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.012726 | IL | Yes |
Addresses
Primary practice location
1200 N Arlington Heights Rd
Arlington Heights, IL 60004-4741
Mailing address
2403 E Lillian LN
Arlington Heights, IL 60004-4333
Phone (224) 388-7707
NPI Registry JSON
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1467007237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 E LILLIAN LN",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044333",
"telephone_number": "224-388-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044741",
"telephone_number": "847-392-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIDERSKI",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
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- Bozena Sutkowski
- Melanie Sweeney
- Zoe May Sweeney
- Lindsey E Sweigert
- Nataliya A Swiercz
- Cyrajean Gotladera Sy
- Anam Syed
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All providers in Arlington Heights, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.