Active NPI
Seriann Mary Swiontek, PT, DPT, ATC
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1376093021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2279
- Practice address
- 2625 N 19TH St
Bismarck, ND 58503-0574 - Phone
- (701) 222-3175
- Fax
- (701) 222-3186
- NPI assigned
- Oct 6, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2279 | ND | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
2625 N 19TH St
Bismarck, ND 58503-0574
Mailing address
17590 80TH St SE
Wahpeton, ND 58075-9368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1480013 | Medicaid | ND |
Other names 1
- Seriann Birchem
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2279 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Door Pediatric Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Milestones Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Red Door Pediatric Therapy
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1639257033
Physical Therapist
-
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1366909251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1376093021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17590 80TH ST SE",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580759368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030574",
"telephone_number": "701-222-3175",
"fax_number": "701-222-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIONTEK",
"first_name": "SERIANN",
"middle_name": "MARY",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2279",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1480013",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SERIANN",
"last_name": "BIRCHEM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.