Individual provider Active NPI

Dalton Dee Swenson

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1255013975
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40251 Issued in FL
Practice address
1469 SW 4TH Ter
Cape Coral, FL 33991-1424
Phone
(239) 242-0070
NPI assigned
Aug 2, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 PT40251 FL Primary

Addresses

Primary practice location

1469 SW 4TH Ter
Cape Coral, FL 33991-1424

Mailing address

2313 SW 27TH St
Cape Coral, FL 33914-3946
Phone (217) 552-6339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829001250 FL Practitioner - Physical Therapist in Private Practice 9234592932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Florida Mobile Therapy, Inc.Group PAC ID 4587082854, 6 clinicians

Practice addresses (Care Compare)

1230 Taylor Lane Ext
Southwest Florida Mobile Therapy
Lehigh Acres, FL 33936-6159
Phone (330) 466-1327

303 NE 3Rd Ave
Suite 12
Cape Coral, FL 33909-2538
Phone (941) 800-1374

6839 Porto Fino Cir
Fort Myers, FL 33912-4361
Phone (239) 288-6697

9171 Independence Way
Fort Myers, FL 33913-6638
Phone (239) 288-6697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physical Therapy, P.a. Single Specialty CurrentSince Aug 17, 2023 Accepting new patients
Southwest Florida Mobile Therapy, Inc. Single Specialty CurrentSince Feb 21, 2024 Accepting new patients

Locations

1469 SW 4th Ter
Cape Coral, FL 33991
Phone (234) 242-0070

303 NE 3rd Ave
Ste 12
Cape Coral, FL 33909
Phone (239) 288-6697

Organizations & group practices 3

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1255013975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 SW 27TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339143946",
            "telephone_number": "217-552-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 SW 4TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911424",
            "telephone_number": "239-242-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "DALTON",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.