Tucker Robert Swanson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281

Phone

(817) 259-1255

Fax

(817) 764-9008

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Midwestern University College of Dental Medicine, Glendale, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ratner Center for Physical Therapy and Wellness, LLCGroup PAC ID 8921355280, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ratner Center for Physical Therapy and Wellness, LLC

  • Orthopedic Physical Therapist
  • Fort Worth, TX
  • NPI 1588171342
  Medicare reassignment Care Compare group NPD
• Sportherapy LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1386132132

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1295463180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TUCKER",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "1362700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiesha Jacquel Swanier, B.S., SLP- ASSISTANT
• Bridget Swanson, MD
• Claudia T Swanson, LMSW
• Kyle Ray Swanson, DC
• Lawrence Swanson, MD
• Susan Lynn Sward-Comunelli, M.D.
• Swart Care 451 LLC
• Swart Care 826 LLC
• Laura A Swartzendruber, RN
• Erik Swayne, LMSW

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.