Active NPI
Jillian M Swazey, LCO
- Orthotist
- Fort Worth, TX
National Provider Identifier
1063779486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 1508
- Practice address
- 1719 8TH Ave
Fort Worth, TX 76110-1349 - Phone
- (682) 885-6294
- Fax
- (682) 885-1135
- NPI assigned
- Apr 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 1508 | TX | Primary |
Addresses
Primary practice location
1719 8TH Ave
Fort Worth, TX 76110-1349
Mailing address
PO Box 99283
Fort Worth, TX 76199-1383
Phone (817) 877-0294
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 |
|---|---|---|---|
| 1508 | TX | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1063779486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99283",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761991383",
"telephone_number": "817-877-0294",
"fax_number": "817-877-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101349",
"telephone_number": "682-885-6294",
"fax_number": "682-885-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAZEY",
"first_name": "JILLIAN",
"middle_name": "M",
"credential": "LCO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "1508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.