Individual provider Active NPI

Susan Lorch Swint, MD

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1194854968
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
43005 Issued in KY
Practice address
4120 Wooded Acre LN
Louisville, KY 40245-2938
Phone
(502) 963-1905
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 43005 KY Primary

Addresses

Primary practice location

4120 Wooded Acre LN
Louisville, KY 40245-2938

Mailing address

PO Box 22306
Louisville, KY 40252-0306

Other practice location 1

211 W Oak St
Louisville, KY 40203-2800
Phone (502) 963-1905

Other practice location 2

9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone (502) 963-1905

Other identifiers 4

IdentifierTypeStateIssuer
7100100280MedicaidKY
P01594512OtherKYRAILROAD MEDICARE
50103349OtherKYPASSPORT HEALTH PLAN
000000991967OtherKYANTHEM

Other names 1

  • Susan Lynn Lorch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090904000141 KY Practitioner - Physical Medicine and Rehabilitation 1951456409 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43005KYMDPhysical Medicine & Rehabilitation Physician

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1194854968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402520306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WOODED ACRE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402452938",
            "telephone_number": "502-963-1905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032800",
            "country_code": "US",
            "telephone_number": "502-963-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 Stonestreet Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402722884",
            "country_code": "US",
            "telephone_number": "502-963-1905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINT",
        "first_name": "SUSAN",
        "middle_name": "LORCH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "43005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100100280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01594512",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50103349",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000991967",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LORCH",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.