Susie Alice Swetter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021472 Issued in PA

Practice address

3102 Grimes Ave
Scranton, PA 18505-2934

Phone

(570) 309-9715

NPI assigned

Sep 28, 2011

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)

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 and National Provider Directory roles.

• High Peaks Physical Therapy P a

  • Physical Therapist
  • Driggs, ID
  • NPI 1356412837
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1497039283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1551",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834221540",
            "telephone_number": "570-309-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 GRIMES AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052934",
            "telephone_number": "570-309-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWETTER",
        "first_name": "SUSIE",
        "middle_name": "ALICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021472",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen George Svetovich, OTR/L
• Jadyn Swartout
• Sweet Home Primary Care of Scranton
• Michael Sweitzer Jr., MS, LAT, ATC
• Jennifer Marie Swenski
• Amy Szwajkowski
• Shehroze Tabassum, MD
• Sherine Tadros, M.D.
• Prutha Nimeshkumar Tailor, MBBS, MPH
• Jessica Rose Talarico

• Physical Therapist in Scranton, PA
• Providers in Scranton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.