Active NPI
Pamela Swanson, L.M.T.
- Specialist
- Waterford, PA
National Provider Identifier
1083038772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MSG003413
- Practice address
- 5940 Clemens Rd
Waterford, PA 16441-2024 - Phone
- (814) 449-2376
- NPI assigned
- Feb 14, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MSG003413 | PA | Primary |
Addresses
Primary practice location
5940 Clemens Rd
Waterford, PA 16441-2024
Mailing address
5940 Clemens Rd
Waterford, PA 16441-2024
Phone (814) 449-2376
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 |
|---|---|---|---|
| MSG003413 | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1083038772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 CLEMENS RD",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164412024",
"telephone_number": "814-449-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 CLEMENS RD",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164412024",
"telephone_number": "814-449-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "PAMELA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MSG003413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.