Active NPI
John Roger Swiderski, PT
- Physical Therapist
- Danbury, CT
National Provider Identifier
1114974599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001668
- Practice address
- 20 Germantown Rd
Suite 102
Danbury, CT 06810-5023 - Phone
- (203) 778-4773
- Fax
- (203) 778-4774
- NPI assigned
- May 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001668 | CT | Primary |
Addresses
Primary practice location
20 Germantown Rd
Suite 102
Danbury, CT 06810-5023
Mailing address
31 Old Route 7
Credentialing Dept
Brookfield, CT 06804-1714
Phone (203) 740-0020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001668 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoconnecticut, PLLC | Physical Therapist | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1114974599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"address_2": "CREDENTIALING DEPT",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041714",
"telephone_number": "203-740-0020",
"fax_number": "203-775-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GERMANTOWN RD",
"address_2": "SUITE 102",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105023",
"telephone_number": "203-778-4773",
"fax_number": "203-778-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIDERSKI",
"first_name": "JOHN",
"middle_name": "ROGER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "001668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.