Martha J Swanson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1509 Issued in WI

Practice address

2705 Enloe St
Hudson, WI 54016-8173

Phone

(715) 386-2128

Fax

(715) 386-6119

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Martha J Cooper Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1003072992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 170TH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540176904",
            "telephone_number": "715-246-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 ENLOE ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168173",
            "telephone_number": "715-386-2128",
            "fax_number": "715-386-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARTHA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "COOPER",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Savannah Sund
• Leslie Winter Surbeck, MD
• Jonathan L Susa I, D.O.
• Mya Sutton
• Amy Swanson, RDH
• Amy M Swenson
• Jessica Rae Tangen, IBCLC
• Haley Ruth Taormina
• Tareen Dermatology, P.a.
• Roxanne Evelyn Tauer, THERAPIST

• Physical Therapy Assistant in Hudson, WI
• Providers in Hudson, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.