Active NPI
Alyssa M Swanson, DPT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1346858297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10277
- Practice address
- 113 Professional Park Rd
Columbia, SC 29229-7847 - Phone
- (803) 788-4705
- Fax
- (803) 788-4797
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- 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 | 10277 | SC | Primary |
Addresses
Primary practice location
113 Professional Park Rd
Columbia, SC 29229-7847
Mailing address
PO Box 3408
Irmo, SC 29063-4015
Phone (803) 732-5887
Other practice location 1
100 Finley Rd
Columbia, SC 29203-9264
Phone (803) 691-5720
Other names 1
- Ms. Alyssa M Duran
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10277 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Rehabilitation Group | Physical Therapist | Past | 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.
-
- Physical Therapist
- Columbia, SC
- NPI 1629407606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1346858297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3408",
"city": "IRMO",
"state": "SC",
"postal_code": "290634015",
"telephone_number": "803-732-5887",
"fax_number": "803-732-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 PROFESSIONAL PARK RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297847",
"telephone_number": "803-788-4705",
"fax_number": "803-788-4797"
}
],
"practiceLocations": [
{
"address_1": "100 Finley Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292039264",
"country_code": "US",
"telephone_number": "803-691-5720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "ALYSSA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "DURAN",
"middle_name": "M",
"prefix": "MS.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.