Individual provider Active NPI

Mary Polivick Swartz, P.T.

  • Physical Therapist
  • Murray, KY
National Provider Identifier
1154760890
Registry record updated Jun 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003902 Issued in KY
Practice address
1507 Kirkwood Dr
Murray, KY 42071-3222
Phone
(270) 873-7495
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2013

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 003902 KY Primary

Addresses

Primary practice location

1507 Kirkwood Dr
Murray, KY 42071-3222

Mailing address

1507 Kirkwood Dr
Murray, KY 42071-3222
Phone (270) 873-7495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002090 KY Practitioner - Physical Therapist in Private Practice 2567847940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1608 Hwy 121 Byp N
Suite F
Murray, KY 42071-8911
Phone (270) 873-7495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony PT and Wellness Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

1608 Highway 121 Byp N
Ste F
Murray, KY 42071
Phone (270) 753-1465

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": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371340800000",
    "number": "1154760890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 KIRKWOOD DR",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420713222",
            "telephone_number": "270-873-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 KIRKWOOD DR",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420713222",
            "telephone_number": "270-873-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "MARY",
        "middle_name": "POLIVICK",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; 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.