Active NPI
Susan Louise Swindeman, OTR BCP
- Occupational Therapist
- Dyer, IN
National Provider Identifier
1912955378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31001495A
- Practice address
- 440 Edmond Dr
Dyer, IN 46311-1523 - Phone
- (219) 322-1415
- Fax
- (219) 322-1414
- NPI assigned
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001495A | IN | Primary |
Addresses
Primary practice location
440 Edmond Dr
Dyer, IN 46311-1523
Mailing address
440 Edmond Dr
Dyer, IN 46311-1523
Phone (219) 322-1415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200716000A | Medicaid | IN | |
| 200645500 | Medicaid | IN |
Other names 1
- Miss Susan Louise Diana
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 |
|---|---|---|---|
| 31001495A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care Therapy LTD | Occupational Therapist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1912955378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 EDMOND DR",
"city": "DYER",
"state": "IN",
"postal_code": "463111523",
"telephone_number": "219-322-1415",
"fax_number": "219-322-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 EDMOND DR",
"city": "DYER",
"state": "IN",
"postal_code": "463111523",
"telephone_number": "219-322-1415",
"fax_number": "219-322-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINDEMAN",
"first_name": "SUSAN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "OTR BCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31001495A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200716000A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200645500",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DIANA",
"middle_name": "LOUISE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dyer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.