Individual provider Active NPI

Theresa Wiegand-Swihart, M.S.,OTR/CHT

  • Hand Occupational Therapist
  • Bloomington, IN
National Provider Identifier
1477856243
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
31002009A Issued in IN
Practice address
639 S Walker St Ste a
Bloomington, IN 47403-2124
Phone
(317) 455-1064
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 31002009A IN Primary

Addresses

Primary practice location

639 S Walker St Ste a
Bloomington, IN 47403-2124

Mailing address

4690 N Benton Dr
Bloomington, IN 47408-9502
Phone (812) 320-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001339 IN Practitioner - Occupational Therapist in Private Practice 5294099040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wingard Wellness and Therapy ServicesGroup PAC ID 4880931864, 3 clinicians

Practice addresses (Care Compare)

434 S Walnut St
Bloomington, IN 47401-4603
Phone (812) 322-1840

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31002009AINMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wingard Wellness & Therapy Services CurrentSince Sep 5, 2024 Accepting new patients

Locations

434 S Walnut St
Bloomington, IN 47401
Phone (812) 322-1840

639 S Walker St
Ste A
Bloomington, IN 47403
Phone (317) 455-1064

Interoperability endpoints

  • Direct secure messaging: theresa.wiegandswihart.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1477856243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 N BENTON DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089502",
            "telephone_number": "812-320-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S WALKER ST STE A",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032124",
            "telephone_number": "317-455-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND-SWIHART",
        "first_name": "THERESA",
        "credential": "M.S.,OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IN",
            "license": "31002009A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.