Individual provider Active NPI

Luke Brian Swimline, PT, DPT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1477033850
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043435 Issued in NY
Practice address
101 Oak St
Buffalo, NY 14203-2233
Phone
(716) 856-4201
NPI assigned
Aug 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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 043435 NY Primary

Addresses

Primary practice location

101 Oak St
Buffalo, NY 14203-2233

Mailing address

9583 Snipery Rd
Corfu, NY 14036-9513
Phone (716) 359-8626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924001217 NY Practitioner - Physical Therapist in Private Practice 3375894819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Buffalo School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire of Western New York IncGroup PAC ID 6507759230, 26 clinicians

Practice addresses (Care Compare)

30 Wilson Rd
Williamsville, NY 14221-7026
Phone (716) 529-3087

60 Main St
Hamburg, NY 14075-4905
Phone (716) 529-3087

7 Community Dr
Cheektowaga, NY 14225-2523
Phone (716) 505-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043435NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire of Western New York Inc. CurrentSince Sep 1, 2018 Accepting new patients

Locations

101 Oak St
Buffalo, NY 14203
Phone (716) 856-4201

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1477033850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9583 SNIPERY RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369513",
            "telephone_number": "716-359-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAK ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032233",
            "telephone_number": "716-856-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIMLINE",
        "first_name": "LUKE",
        "middle_name": "BRIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.