Active NPI
Molly Swafford, PT
- Pediatric Physical Therapist
- Winter Park, FL
National Provider Identifier
1114088077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0006382
- Practice address
- 716 Friar Rd
Winter Park, FL 32792-4825 - Phone
- (678) 978-8316
- NPI assigned
- Dec 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 32355 | FL | |
| Pediatric Physical Therapist | 2251P0200X | 0006382 | GA | Primary |
Addresses
Primary practice location
716 Friar Rd
Winter Park, FL 32792-4825
Mailing address
716 Friar Rd
Winter Park, FL 32792-4825
Phone (678) 978-8316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318311 | Other | GA | WELLCARE OF GEORGIA |
| 000827252D | Medicaid | GA |
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 |
|---|---|---|---|
| 32355 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarasota Pediatric Physical Therapy, Inc | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Nokomis, FL
- NPI 1275059396
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114088077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 FRIAR RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924825",
"telephone_number": "678-978-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 FRIAR RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924825",
"telephone_number": "678-978-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAFFORD",
"first_name": "MOLLY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "32355",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "0006382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF GEORGIA",
"identifier": "318311",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000827252D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.