Individual provider Active NPI

Barrett V Swigard, MPT, OCS, C.MDT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1205857455
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008160 Issued in WA
Practice address
8630 164TH Ave NE
Redmond, WA 98052-3606
Phone
(425) 658-4980
Fax
(425) 658-4977
NPI assigned
Jul 22, 2006
Last updated
Sep 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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 PT00008160 WA Primary

Addresses

Primary practice location

8630 164TH Ave NE
Redmond, WA 98052-3606

Mailing address

8630 164TH Ave NE
Redmond, WA 98052-3606
Phone (425) 658-4980

Other names 1

  • Mr. Bret V Swigard Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Rehabilitation Group PLLC Physical Therapist PastSince Jun 1, 2018 Accepting new patients
Premier Physical Rehabilitation LLC Physical Therapist PastSince Oct 16, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1205857455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980",
            "fax_number": "425-658-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980",
            "fax_number": "425-658-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIGARD",
        "first_name": "BARRETT",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MPT, OCS, C.MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRET",
            "last_name": "SWIGARD",
            "middle_name": "V",
            "prefix": "MR.",
            "credential": "MPT, OCS, C.MDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.