Individual provider Active NPI

Terra Leahann Swenson, COTA, CLT

  • Occupational Therapy Assistant
  • Jupiter, FL
National Provider Identifier
1750859252
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA16775 Issued in FL
Practice address
250 W Indiantown Rd Ste 106
Jupiter, FL 33458-3549
Phone
(561) 768-9984
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16775 FL Primary

Addresses

Primary practice location

250 W Indiantown Rd Ste 106
Jupiter, FL 33458-3549

Mailing address

14105 Caloosa Blvd
West Palm Beach, FL 33418-8633
Phone (561) 722-7510

Other identifiers 1

IdentifierTypeStateIssuer
OTA16775OtherFLPROFESSIONAL LICENSE

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
OTA16775FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Treatment Center Current Accepting new patients

Locations

250 W Indiantown Rd
Ste 106
Jupiter, FL 33458
Phone (561) 722-7510

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1750859252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 CALOOSA BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334188633",
            "telephone_number": "561-722-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W INDIANTOWN RD STE 106",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583549",
            "telephone_number": "561-768-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "TERRA",
        "middle_name": "LEAHANN",
        "credential": "COTA, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "OTA16775",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

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