Jessie Ellen Swartzentruber, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3044 Issued in NM

Practice address

201 14TH St NW
Albuquerque, NM 87104-1212

Phone

(505) 331-6940

NPI assigned

Nov 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1477022895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041212",
            "telephone_number": "505-331-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 14TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041212",
            "telephone_number": "505-331-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZENTRUBER",
        "first_name": "JESSIE",
        "middle_name": "ELLEN",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Whitney Swanson
• Naomi Yao Swanson, M.D.
• Thaisa Araujo Swanson, CNP
• Julia Swart, BSM LM CPM
• Carrie D Swartz, M.D.
• Mara Swartzentruber, PA-C
• Steve Malik Swayne, CPSW / CCSS
• Tara Sweat, RN
• Alfred Warner Swedberg Jr., D.C.
• Dannie Sweeney

• Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.