Individual provider Active NPI

Mary Kathryn Swisher Hunter, PT, DPT

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1306244264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42023 Issued in CA
Practice address
13891 Newport Ave Ste 285
Tustin, CA 92780-7840
Phone
(714) 770-8222
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 42023 CA Primary

Addresses

Primary practice location

13891 Newport Ave Ste 285
Tustin, CA 92780-7840

Mailing address

1981 Lathan Ave
Camarillo, CA 93010-1935
Phone (805) 279-6422

Other practice location 1

1981 Lathan Ave
Camarillo, CA 93010-1935
Phone (805) 279-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42023CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womanology Physical Therapist PastSince Oct 15, 2013 Accepting new patients

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306244264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 LATHAN AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101935",
            "telephone_number": "805-279-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE STE 285",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807840",
            "telephone_number": "714-770-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1981 Lathan Ave",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930101935",
            "country_code": "US",
            "telephone_number": "805-279-6422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "MARY KATHRYN",
        "middle_name": "SWISHER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

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