Individual provider Active NPI

Kathryn Deena Swore, D.P.T

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1427501725
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422
Phone
(907) 373-9462
Fax
(907) 373-9464
NPI assigned
Aug 3, 2016
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 NU Primary

Addresses

Primary practice location

3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422

Mailing address

3190 E Meridian Park Loop Ste 206a
Wasilla, AK 99654-7422
Phone (907) 373-9462

Other practice location 1

5832 Fayetteville Rd Ste 106
Durham, NC 27713-6291
Phone (919) 410-8840

Other practice location 2

4361 Boniface Pkwy Ste 3
Anchorage, AK 99504-4314
Phone (907) 332-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724004027 ID Practitioner - Physical Therapist in Private Practice 6103190806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

128 Vista Dr
Pocatello, ID 83201-5824
Phone (208) 233-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy Limited Partnership Physical Therapist CurrentSince May 18, 2025 Accepting new patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince May 11, 2025 Accepting new patients
McDonald Rehab, PC Physical Therapist PastSince Jun 24, 2020 Accepting new patients

Locations

7985 E 16th Ave
Ste 100
Anchorage, AK 99504
Phone (907) 332-0021

3765 E Blue Lupine Dr
Ste E
Wasilla, AK 99654
Phone (907) 373-9462

588 Fort Hall Ave
American Falls, ID 83211
Phone (208) 233-2248

1961 S Broadway Ave
Boise, ID 83706
Phone (208) 344-1851

8727 W Ardene St
Ste 102G
Boise, ID 83709
Phone (208) 322-6200

4623 Enterprise Way
Caldwell, ID 83605
Phone (208) 455-4231

875 E Plaza Dr
Ste 103
Eagle, ID 83616
Phone (208) 229-7075

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

2210 Coronado St
Idaho Falls, ID 83404
Phone (208) 317-3956

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

672 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-9828

1450 E Fairview Ave
#201
Meridian, ID 83642
Phone (208) 887-6757

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

128 Vista Dr
Pocatello, ID 83201
Phone (208) 233-2248

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

500 S 11th Ave
Ste 506
Pocatello, ID 83201
Phone (208) 233-2248

136 W Main St
Rexburg, ID 83440
Phone (208) 233-2248

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1427501725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 E MERIDIAN PARK LOOP STE 206A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547422",
            "telephone_number": "907-373-9462",
            "fax_number": "907-373-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5832 Fayetteville Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136291",
            "country_code": "US",
            "telephone_number": "919-410-8840",
            "fax_number": "866-598-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4361 Boniface Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995044314",
            "country_code": "US",
            "telephone_number": "907-332-0021",
            "fax_number": "907-373-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWORE",
        "first_name": "KATHRYN",
        "middle_name": "DEENA",
        "name_prefix": "Ms.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.