Individual provider Active NPI

Bethany Swartz, OTRL

  • Occupational Therapist
  • Portage, MI
National Provider Identifier
1477119444
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010537 Issued in MI
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

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5201010537MIMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.