Individual provider Active NPI

Leo Swanger

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1215822705
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017764 Issued in GA
Practice address
2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578
Phone
(770) 887-0502
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 PT017764 GA Primary

Addresses

Primary practice location

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578

Mailing address

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801003063 GA Practitioner - Physical Therapist in Private Practice 1254849136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Rehabilitation and Performance CenterGroup PAC ID 5890692917, 95 clinicians

Practice addresses (Care Compare)

2920 Ronald Reagan Blvd
Suite 106
Cumming, GA 30041-7578
Phone (770) 887-0502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 10, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jun 10, 2025 Accepting new patients

Locations

5007 B U Bowman Dr
Buford, GA 30518
Phone (470) 780-5100

2920 Ronald Reagan Blvd
Ste 106
Cumming, GA 30041
Phone (770) 887-0502

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1215822705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417578",
            "telephone_number": "770-887-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANGER",
        "first_name": "LEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.