Active NPI
Nicholas B Swanner, MPT, GCS
- Physical Therapist
- Roswell, GA
National Provider Identifier
1003040049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008351
- Practice address
- 1000 Applewood Dr
Brookdale Therapy
Roswell, GA 30076-1395 - Phone
- (404) 971-8544
- Fax
- (414) 918-6046
- NPI assigned
- May 5, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008351 | GA | Primary |
Addresses
Primary practice location
1000 Applewood Dr
Brookdale Therapy
Roswell, GA 30076-1395
Mailing address
1000 Applewood Dr
Brookdale Therapy
Roswell, GA 30076-1395
Phone (404) 971-8544
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1003040049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 APPLEWOOD DR",
"address_2": "BROOKDALE THERAPY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761395",
"telephone_number": "404-971-8544",
"fax_number": "414-918-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 APPLEWOOD DR",
"address_2": "BROOKDALE THERAPY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761395",
"telephone_number": "404-971-8544",
"fax_number": "414-918-6046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANNER",
"first_name": "NICHOLAS",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MPT, GCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "008351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.