Active NPI
Erik J Swanson, MSPT
- Physical Therapist
- Durango, CO
National Provider Identifier
1295797231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8406
- Practice address
- 1 Mercado St
Durango, CO 81301 - Phone
- (970) 385-0644
- Fax
- (970) 385-0620
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8406 | CO | Primary |
Addresses
Primary practice location
1 Mercado St
Durango, CO 81301
Mailing address
1 Mercado St
Durango, CO 81301-7300
Phone (719) 310-9266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44437315 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000819 | CO | Practitioner - Physical Therapist in Private Practice | 4385618644 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8406 | CO | MD | Physical Therapist |
Organizations & group practices 1
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": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1295797231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "719-310-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-385-0644",
"fax_number": "970-385-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ERIK",
"middle_name": "J",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44437315",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.