Active NPI
Bethany Swartz, OTRL
- Occupational Therapist
- Portage, MI
National Provider Identifier
1477119444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010537
- Practice address
- 7920 Kirkland CT
Portage, MI 49024-4974 - Phone
- (269) 345-0669
- Fax
- (269) 342-7840
- NPI assigned
- May 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010537 | MI | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 5201010537 | MI |
Addresses
Primary practice location
7920 Kirkland CT
Portage, MI 49024-4974
Mailing address
7920 Kirkland CT
Portage, MI 49024-4974
Phone (269) 345-0669
Other practice location 1
1415 S Main St Ste B
Eaton Rapids, MI 48827-1959
Phone (517) 781-4999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010537 | MI | MD | Occupational Therapist |
Interoperability endpoints
- bethany.fox.p4@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1477119444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 KIRKLAND CT",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244974",
"telephone_number": "269-345-0669",
"fax_number": "269-342-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 KIRKLAND CT",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244974",
"telephone_number": "269-345-0669",
"fax_number": "269-342-7840"
}
],
"practiceLocations": [
{
"address_1": "1415 S Main St Ste B",
"address_purpose": "LOCATION",
"city": "Eaton Rapids",
"state": "MI",
"postal_code": "488271959",
"country_code": "US",
"telephone_number": "517-781-4999",
"fax_number": "517-663-2506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWARTZ",
"first_name": "BETHANY",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-15",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010537",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": "5201010537",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.