Individual provider Active NPI

Michelle Maroney Swalboski Conway

  • Occupational Therapist
  • Sioux City, IA
National Provider Identifier
1508184813
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002011 Issued in IA
Practice address
2538 Glenn Ave
Sioux City, IA 51106-2768
Phone
(712) 226-2253
NPI assigned
May 11, 2010
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 1422755 IA
Occupational Therapist 225X00000X 002011 IA Primary

Addresses

Primary practice location

2538 Glenn Ave
Sioux City, IA 51106-2768

Mailing address

2538 Glenn Ave
Sioux City, IA 51106-2768
Phone (712) 226-2253

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
1422755IAMDRehabilitation Hospital Unit

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Care Hospital and School Dba Lifescape Occupational Therapist PastSince Sep 8, 2014 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1508184813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 GLENN AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062768",
            "telephone_number": "712-226-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MICHELLE",
        "middle_name": "MARONEY SWALBOSKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IA",
            "license": "1422755",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.