Individual provider Active NPI

Jacquelyn Swackhamer, OTR

  • Occupational Therapist
  • Greenwood Village, CO
National Provider Identifier
1710536040
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0000906 Issued in CO
Practice address
4700 S Yosemite St
Greenwood Village, CO 80111-1307
Phone
(303) 773-1184
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0000906 CO Primary

Addresses

Primary practice location

4700 S Yosemite St
Greenwood Village, CO 80111-1307

Mailing address

4700 S Yosemite St
Greenwood Village, CO 80111-1307
Phone (303) 773-1184

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

LicenseStateTypeSpecialty
OT.0000906COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Creek School District No. 5 PastSince Jan 14, 2024 Accepting new patients
Rebecca Kennedy LLC Occupational Therapist PastSince Sep 1, 2019 Accepting new patients

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1710536040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111307",
            "telephone_number": "303-773-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111307",
            "telephone_number": "303-773-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKHAMER",
        "first_name": "JACQUELYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.