Active NPI
Amanda L Swearingen, PT, DPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1003205436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60884
- Practice address
- Balanced Physical Therapy
900 NE 139TH St Ste 102
Vancouver, WA 98685 - Phone
- (360) 575-3611
- Fax
- (360) 573-3880
- NPI assigned
- Jan 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61154609 | WA | |
| Physical Therapist | 225100000X | 60884 | OR | Primary |
Addresses
Primary practice location
Balanced Physical Therapy
900 NE 139TH St Ste 102
Vancouver, WA 98685
Mailing address
Balanced Physical Therapy
900 NE 139TH St Ste 102
Vancouver, WA 98685
Phone (360) 575-3611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2178778 | Medicaid | WA |
Other names 1
- Amanda L Land
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61154609 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1003205436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BALANCED PHYSICAL THERAPY",
"address_2": "900 NE 139TH ST STE 102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98685",
"telephone_number": "360-575-3611",
"fax_number": "360-573-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BALANCED PHYSICAL THERAPY",
"address_2": "900 NE 139TH ST STE 102",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98685",
"telephone_number": "360-575-3611",
"fax_number": "360-573-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEARINGEN",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61154609",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2178778",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LAND",
"middle_name": "L",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.