Haley Swackhammer, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA30982 Issued in FL

Practice address

15071 Shell Point Blvd
Fort Myers, FL 33908-1639

Phone

(740) 649-9305

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1154909711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 APPLEWOOD DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011906",
            "telephone_number": "740-649-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15071 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081639",
            "telephone_number": "740-649-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWACKHAMMER",
        "first_name": "HALEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PTA30982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucinda Sutton
• Inesa Sviridova, PA
• SW Florida Anesthesia Services LLC
• SW Florida Radiology LLC
• SW Rehabilitation Center Inc
• Swag Mental Health Services LLC
• David Swan, MS,CCC/SLP
• Janice Lynn Swanger
• Peggy Sue Swann, APRN
• Christy Anne Swanson, D.M.D.

• Physical Medicine & Rehabilitation Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.