Individual provider Active NPI

Paula Swain, P.T.

  • Physical Therapist
  • Kent, WA
National Provider Identifier
1295925758
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003339 Issued in WA
Practice address
13106 SE 240TH St
Suite 103
Kent, WA 98031-9210
Phone
(253) 631-1933
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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 PT00003339 WA Primary

Addresses

Primary practice location

13106 SE 240TH St
Suite 103
Kent, WA 98031-9210

Mailing address

13106 SE 240TH St
Suite 103
Kent, WA 98031-9210
Phone (253) 631-1933

Other identifiers 1

IdentifierTypeStateIssuer
8337685MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000356 WA Practitioner - Physical Therapist in Private Practice 7012070642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16720 SE 271St St
Suite 200
Covington, WA 98042-7342
Phone (253) 630-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00003339WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist CurrentSince May 5, 2012 Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist Past Accepting new patients
Kent Easthill Physical Therapy PS Past Accepting new patients

Locations

27005 168th Pl SE
Ste 200
Covington, WA 98042
Phone (253) 639-4788

16720 SE 271st St
Ste 200
Covington, WA 98042
Phone (253) 630-5805

13106 SE 240th St
Ste 103
Kent, WA 98031
Phone (253) 631-1933

8009 S 180th St
Ste 112
Kent, WA 98032
Phone (253) 833-8766

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1295925758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319210",
            "telephone_number": "253-631-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 SE 240TH ST",
            "address_2": "SUITE 103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980319210",
            "telephone_number": "253-631-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "PAULA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8337685",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.