Individual provider Active NPI

Ingrid Estelle Swanepoel, OTRL

  • Hand Occupational Therapist
  • Fresno, CA
National Provider Identifier
1467519199
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT2917 Issued in CA
Practice address
7005 N Maple Ave
#104
Fresno, CA 93720-8009
Phone
(559) 325-3503
Fax
(559) 325-3504
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT2917 CA Primary

Addresses

Primary practice location

7005 N Maple Ave
#104
Fresno, CA 93720-8009

Mailing address

7005 N Maple Ave
#104
Fresno, CA 93720-8009
Phone (559) 325-3503

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

State licenses

LicenseStateTypeSpecialty
OT2917CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand to Shoulder Rehab, Inc. Hand PastSince Aug 1, 2012 Accepting new patients

Organizations & group practices 1

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1467519199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "#104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "#104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANEPOEL",
        "first_name": "INGRID",
        "middle_name": "ESTELLE",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.