Active NPI
Elizabeth Swanson, PT, DPT
- Physical Therapist
- Westmont, IL
National Provider Identifier
1356608871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.023300
- Practice address
- 1010 Executive Dr Ste 250
Westmont, IL 60559-6137 - Phone
- (630) 655-8785
- Fax
- (630) 655-2759
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.023300 | IL | Primary |
Addresses
Primary practice location
1010 Executive Dr Ste 250
Westmont, IL 60559-6137
Mailing address
790 Remington Blvd Unit 102
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
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 |
|---|---|---|---|
| 070.023300 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy | Past | Accepting new patients | |
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients | |
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients | |
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1356608871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD UNIT 102",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR STE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596137",
"telephone_number": "630-655-8785",
"fax_number": "630-655-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.023300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.