Active NPI
Ronald Philip Swanson, MSPT
- Physical Therapist
- Camp Hill, PA
National Provider Identifier
1205815784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018509
- Practice address
- 503 N 21St St
Camp Hill, PA 17011-2204 - Phone
- (717) 975-3200
- Fax
- (717) 975-3204
- NPI assigned
- Jan 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20812 | MD | |
| Physical Therapist | 225100000X | PT018509 | PA | Primary |
Addresses
Primary practice location
503 N 21St St
Camp Hill, PA 17011-2204
Mailing address
875 Poplar Church Rd
Suite 100
Camp Hill, PA 17011-2203
Phone (717) 975-3200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116104 | Other | MD | MAMSI FSS |
| 620106-01 | Other | MD | CAREFIRST MD FSS |
| K134-0003 | Other | MD | CAP FED BC MSS |
| 334552 | Other | MD | PHCS |
| 147719000 | Other | MD | DEPT OF LABOR FSS |
| 602030700 | Other | MD | DEPT OF LABOR MSS |
| R5590006 | Other | MD | CAP FED BC FSS |
| 3116104 | Other | MD | 3116104 |
| 620106-02 | Other | MD | CAREFIRST MSS |
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 |
|---|---|---|---|
| 20812 | MD | MD | Physical Therapist |
| PT018509 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericks Sport and Spine Clinic Inc | Past | Accepting new patients | |
| Frederick Sport & Spine Clinic | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26547/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Walkersville, MD
- NPI 1134397722
-
- Orthopedic Physical Therapist
- Frederick, MD
- NPI 1841204823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1205815784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 POPLAR CHURCH RD",
"address_2": "SUITE 100",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112203",
"telephone_number": "717-975-3200",
"fax_number": "717-975-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N 21ST ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112204",
"telephone_number": "717-975-3200",
"fax_number": "717-975-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "RONALD",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20812",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI FSS",
"identifier": "2116104",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD FSS",
"identifier": "620106-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP FED BC MSS",
"identifier": "K134-0003",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "334552",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR FSS",
"identifier": "147719000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR MSS",
"identifier": "602030700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP FED BC FSS",
"identifier": "R5590006",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "3116104",
"identifier": "3116104",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MSS",
"identifier": "620106-02",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.