Individual provider Active NPI

Mackenzie Lorraine Swank, PT, DPT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1013681535
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28583 Issued in MD
Practice address
1045 Maryland Ave
Hagerstown, MD 21740-7201
Phone
(301) 739-5437
NPI assigned
Aug 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28583 MD Primary

Addresses

Primary practice location

1045 Maryland Ave
Hagerstown, MD 21740-7201

Mailing address

8219 Buchanan TRL W
Mercersburg, PA 17236-8543
Phone (717) 615-6228

Other practice location 1

4640 Wedgewood Blvd Ste 104&105
Frederick, MD 21703-7114
Phone (240) 457-9558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514000606 MD Practitioner - Physical Therapist in Private Practice 6608217252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hagerstown Home Care Therapy IncGroup PAC ID 4981982980, 8 clinicians

Practice addresses (Care Compare)

1045 Maryland Ave
Hagerstown, MD 21740-7201
Phone (240) 291-1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28583MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Home Care Therapy, Inc. Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Hagerstown Home Care Therapy, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

4640 Wedgewood Blvd
Ste 104105
Frederick, MD 21703
Phone (240) 457-9558

1045 Maryland Ave
Hagerstown, MD 21740
Phone (240) 291-1043

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1013681535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 BUCHANAN TRL W",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172368543",
            "telephone_number": "717-615-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MARYLAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407201",
            "telephone_number": "301-739-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4640 Wedgewood Blvd Ste 104&105",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217037114",
            "country_code": "US",
            "telephone_number": "240-457-9558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANK",
        "first_name": "MACKENZIE",
        "middle_name": "LORRAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.