Active NPI
Wanda Susan Swann, LMT NCTMB
- Mechanotherapist
- Butte, MT
National Provider Identifier
1013275361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 2003
- Practice address
- 1365 Evans Ave
Butte, MT 59701-3421 - Phone
- (406) 494-0099
- Fax
- (406) 494-0099
- NPI assigned
- Apr 24, 2012
- Last updated
- Apr 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 2003 | MT | Primary |
Addresses
Primary practice location
1365 Evans Ave
Butte, MT 59701-3421
Mailing address
1365 Evans Ave
Butte, MT 59701-3421
Phone (406) 494-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003 | Medicaid | MT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | MT | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1013275361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 EVANS AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597013421",
"telephone_number": "406-494-0099",
"fax_number": "406-494-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 EVANS AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597013421",
"telephone_number": "406-494-0099",
"fax_number": "406-494-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANN",
"first_name": "WANDA",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LMT NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MT",
"license": "2003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
- Summit Laboratory Partnership
- Summit Surgery Center LLC
- Surgical Solutions of Southwest Montana PC
- Tristan Ashley Svejkovsky, FNP-BC
- Warren M Swager, M.D.
- Kevin Swanson, PHARMD
- Melissa Joy Swanson, PT
- Lule Swearengin
- Sweetwater Butte Opco LLC (Continental Care and Rehabilitation)
- Deborah Jeanne Swiatkowski, R.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.