Amanda Kaye Swallow, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2411 Issued in NE

Practice address

200 West Hospital Drive
Whiteriver, AZ 85941

Phone

(928) 338-4911

Fax

(928) 338-3522

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pine Ridge Indian Health Service Hospital

  dba Wanblee Health Center

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1265452130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SKYLARK ROAD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "89535",
            "telephone_number": "605-890-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-4911",
            "fax_number": "928-338-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALLOW",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Stewart Gonzales, DO
• Nathaniel Stiffarm, PHARMD
• Dinesh Sukhlall, PHARMD
• Robert Michael Sulzbach, PHARMD
• Gina Sutedja
• Justin Tafoya, RN
• Jonathan B Taylor, DO
• Kim Taylor, RN
• Trevor Neil Thompson, RPH
• Weston Thompson, D.PH.

• Physical Therapist in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.