Don Russell Swift, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2017040934 Issued in MO

Practice address

4205 W 94TH Ter
Prairie Village, KS 66207-2715

Phone

(913) 730-7507

Fax

(913) 730-7503

NPI assigned

May 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Russ Swift Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1003306648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W 94TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072715",
            "telephone_number": "913-730-7507",
            "fax_number": "913-730-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W 94TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072715",
            "telephone_number": "913-730-7507",
            "fax_number": "913-730-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "DON",
        "middle_name": "RUSSELL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2017040934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF THERAPEUTIC MASSAGE",
            "identifier": "2017040934",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSS",
            "last_name": "SWIFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily G. L. Sutherland, D.D.S.
• John E Sutphin Jr., MD
• Diane Elizabeth Svensson, FNP-BC
• Yulonda Swanson-Moten, LCMFT
• Emily Swaters
• Robert Charles Andrew Symons, M.D.
• Synergy Health and Wellness, PA
• Andrew Taliaferro, D.D.S.
• Isabella Rose Tambone, LCPC
• Chelsey Tarantino

• Massage Therapist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Massage Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.