Mrs Samantha Swensen Swensen, MS | |
2915 North 4th Street, Flagstaff, AZ 86004 | |
(928) 779-1679 | |
(928) 779-2822 |
Full Name | Mrs Samantha Swensen Swensen |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 2915 North 4th Street, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588728588 | NPI | - | NPPES |
692646 | Medicaid | AZ | |
Z155549 | Other | AZ | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 005129 (Arizona) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | 5129 (Arizona) | Primary |
Provider Name | Northland-rural Therapy Associates |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376677914 PECOS PAC ID: 5193983526 Enrollment ID: O20120214000939 |
Mailing Address | Practice Location Address |
---|---|
Mrs Samantha Swensen Swensen, MS 2915 North 4th Street, Flagstaff, AZ 86004 Ph: (928) 779-1679 | Mrs Samantha Swensen Swensen, MS 2915 North 4th Street, Flagstaff, AZ 86004 Ph: (928) 779-1679 |
Alexandra Statile, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Butler Ave, Flagstaff, AZ 86004 Phone: 928-291-2710 | |
Ms. Nicole Ashley Rambeau, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2224 E Cedar Ave, Suite 1, Flagstaff, AZ 86004 Phone: 937-524-9034 | |
Susan R Enerson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 E Cedar Ave, Flagstaff, AZ 86004 Phone: 928-214-7430 Fax: 928-214-6022 | |
Clare Elizabeth Long, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2113 | |
Laurenlee Rae, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Nakai Trl, Flagstaff, AZ 86005 Phone: 602-228-6338 | |
Mrs. Kathryn Sumpter Barrett, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2054 | |
Mr. Scott Rice, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 W Oak Ave Apt 102, Flagstaff, AZ 86001 Phone: 253-250-6030 |