Active NPI
Frederick Edward Swartz, PT
- Specialist
- St Petersburg, FL
National Provider Identifier
1407106552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT20602
- Practice address
- 5980 80TH St N Unit 104
St Petersburg, FL 33709-1003 - Phone
- (727) 867-7143
- NPI assigned
- Sep 17, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT20602 | FL | Primary |
Addresses
Primary practice location
5980 80TH St N Unit 104
St Petersburg, FL 33709-1003
Mailing address
5980 80TH St N Unit 104
St Petersburg, FL 33709
Phone (727) 867-7143
Other names 1
- Fred Swartz
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 |
|---|---|---|---|
| PT20602 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1407106552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5980 80TH ST N UNIT 104",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33709",
"telephone_number": "727-867-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 80TH ST N UNIT 104",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337091003",
"telephone_number": "727-867-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "FREDERICK",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PT20602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRED",
"last_name": "SWARTZ",
"credential": "RPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.