Active NPI
Shontae L. Swancy, COTA
- Occupational Therapist
- Orange Park, FL
National Provider Identifier
1679634745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT27326
- Practice address
- 833 Kingsley Ave
Orange Park, FL 32073-4701 - Phone
- (318) 355-2330
- NPI assigned
- Dec 13, 2006
- 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 Therapy Assistant | 224Z00000X | OTA 10154 | FL | |
| Occupational Therapist | 225X00000X | OT27326 | FL | Primary |
Addresses
Primary practice location
833 Kingsley Ave
Orange Park, FL 32073-4701
Mailing address
2907 Brittany Bluff Dr
Orange Park, FL 32073-1630
Phone (315) 355-2330
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 10154 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1679634745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 BRITTANY BLUFF DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320731630",
"telephone_number": "315-355-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734701",
"telephone_number": "318-355-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANCY",
"first_name": "SHONTAE",
"middle_name": "L.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA 10154",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT27326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.