Jacqueline J Swenson, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031606 Issued in NY

Practice address

22 Bittersweet LN
Slingerlands, NY 12159-9424

Phone

(518) 212-7515

NPI assigned

Jan 24, 2012

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

Other identifiers 1

Electronic endpoints 1

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.

• Elemental Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Delmar, NY
  • NPI 1639879935
  NPD Authorized official

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1306117270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BITTERSWEET LN",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599424",
            "telephone_number": "518-212-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BITTERSWEET LN",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599424",
            "telephone_number": "518-212-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Albany Memorial Hospital",
            "address_2": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12204",
            "country_code": "US",
            "telephone_number": "518-429-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306117270",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@elementalptny.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 Bittersweet Ln",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sybil Allyson Stock, MD
• Andrew J Sullivan, MD
• Johnathan Hao Sun, D.O.
• Sedat Mete Surmeli, M.D.
• Holly Swanson, MD
• Howard Leon Tanenbaum, HOWARD TANENBAUM
• Brijesh Kumar Tantuwaya, MD
• Erin Murphy Templeton, DPT
• The Golub Corporation
• Thomas Nicolla PT of Delmar

• Physical Therapist in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.