Individual provider Active NPI

Matthew Swagerty, SLP-CF

  • Speech-Language Pathologist
  • Independence, OR
National Provider Identifier
1609584549
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17723 Issued in OR
Practice address
1525 Monmouth St
Independence, OR 97351-1007
Phone
(503) 689-6454
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17723 OR Primary

Addresses

Primary practice location

1525 Monmouth St
Independence, OR 97351-1007

Mailing address

18432 Sandpiper Cir
Lake Oswego, OR 97035-8218
Phone (503) 689-6454

Other practice location 1

18432 Sandpiper Cir
Lake Oswego, OR 97035-8218
Phone (503) 689-6454

Other practice location 2

820 Cottage St NE
Salem, OR 97301-2426
Phone (503) 689-6454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000888 OR Practitioner - Qualified Speech Language Pathologist 2264876739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1165 McGee CT NE
Keizer, OR 97303-9492
Phone (503) 390-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 15, 2024 Accepting new patients
Select Rehabilitation, LLC Speech-Language Pathologist CurrentSince Dec 28, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 15, 2024 Accepting new patients

Locations

1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

8915 SE Monterey Ave
Happy Valley, OR 97086
Phone (503) 526-8377

17309 NE Glisan St
Portland, OR 97230
Phone (503) 253-4920

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

17950 SW 115th Ave
Tualatin, OR 97062
Phone (503) 692-1748

18325 SW Pacific Hwy
Tualatin, OR 97062
Phone (503) 925-0544

Organizations & group practices 3

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1609584549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18432 SANDPIPER CIR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358218",
            "telephone_number": "503-689-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MONMOUTH ST",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973511007",
            "telephone_number": "503-689-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18432 Sandpiper Cir",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358218",
            "country_code": "US",
            "telephone_number": "503-689-6454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Cottage St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973012426",
            "country_code": "US",
            "telephone_number": "503-689-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAGERTY",
        "first_name": "MATTHEW",
        "credential": "SLP-CF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.