Jacqueline Collier Swale, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38994 Issued in FL

Practice address

427 Burns Ave
Lake Wales, FL 33853-3314

Phone

(863) 679-3338

Fax

(205) 939-6067

NPI assigned

Feb 1, 2012

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Victory Ridge Academy, Inc.

  • Clinic/Center
  • Lake Wales, FL
  • NPI 1184044612

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1467724898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 TARTAN LOOP",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533582",
            "telephone_number": "615-476-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 BURNS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533314",
            "telephone_number": "863-679-3338",
            "fax_number": "205-939-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALE",
        "first_name": "JACQUELINE",
        "middle_name": "COLLIER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6264",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Allen Stern, MD
• La Kenya Delon Stone, CNA
• Cynthia Christine Strazzulla, MS-CCC, SLP
• Kaycie Samantha Stringer, ARNP
• Sunrise Pediatrics LLC
• Tiffany Christine Tary, OTR/L
• Veronica Taylor, PTA
• Stacy Testa, PA-C
• Prabin Thakuri, AA
• The Tower Ridge Group LLC

• Physical Therapist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.