Individual provider Active NPI

Joseph Robert Swinehart

  • Physical Therapist
  • Newaygo, MI
National Provider Identifier
1003003021
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010140 Issued in MI
Practice address
609 Pickeral Lake Dr
Newaygo, MI 49337-9152
Phone
(231) 652-2343
Fax
(231) 652-2343
NPI assigned
Oct 3, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010140 MI Primary

Addresses

Primary practice location

609 Pickeral Lake Dr
Newaygo, MI 49337-9152

Mailing address

PO Box 822
White Cloud, MI 49349-0822
Phone (231) 652-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000507 MI Practitioner - Physical Therapist in Private Practice 7911096946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
6 Hands Physical Therapy and WellnessGroup PAC ID 6103915137, 2 clinicians

Practice addresses (Care Compare)

1101 Washington St B
Baldwin Physical Therapy
Baldwin, MI 49304-8199
Phone (231) 443-0082

220 S Charles St
White Cloud Physical Therapy
White Cloud, MI 49349-8600
Phone (231) 689-5800

977 W 72ND St
River Valley Physical Therapy
Newaygo, MI 49337-9800
Phone (231) 652-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
6 Hands Physical Therapy and Wellness Physical Therapist CurrentSince Oct 19, 2007 Accepting new patients

Locations

977 W 72nd St
Newaygo, MI 49337
Phone (231) 652-3860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1003003021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493490822",
            "telephone_number": "231-652-2343",
            "fax_number": "231-652-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PICKERAL LAKE DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493379152",
            "telephone_number": "231-652-2343",
            "fax_number": "231-652-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINEHART",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.