Individual provider Active NPI

David Joseph Schwanebeck

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1508277856
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0064830 Issued in CO
Practice address
1920 N High St
Denver, CO 80218-1213
Phone
(662) 803-5799
NPI assigned
May 8, 2014
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 66278-21 WI
Physical Medicine & Rehabilitation Physician 208100000X DR.0064830 CO Primary

Addresses

Primary practice location

1920 N High St
Denver, CO 80218-1213

Mailing address

1920 N High St
Denver, CO 80218-1213

Other practice location 1

2428 N Grandview Blvd Ste 102
Waukesha, WI 53188-6906
Phone (262) 875-5070

Other practice location 2

1105 Brantley Dr
Knoxville, TN 37923-1711
Phone (662) 803-5799

Other practice location 3

600 Highland Ave
UW Hospitals & Clinics
Madison, WI 53792-0001
Phone (608) 263-8642

Other practice location 4

4650 Central Park Blvd
Denver, CO 80238
Phone (662) 803-5799

Other practice location 5

700 Potomac St Fl 2
Aurora, CO 80011-6846
Phone (662) 803-5799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180830000131 WI Practitioner - Physical Medicine and Rehabilitation 3577785799 Reassigns benefits to 1 organization
I20210622002048 CO Practitioner - Physical Medicine and Rehabilitation 3577785799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia Col of Osteo Med, Sewanee, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Rehabilitation Consultants IncGroup PAC ID 2769883297, 4 clinicians

Practice addresses (Care Compare)

1920 N High St
Denver, CO 80218-1213
Phone (662) 803-5799

700 Potomac St
FL 2
Aurora, CO 80011-6846
Phone (662) 803-5799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5376WIMDGeneral Practice Dentistry
DR.0064830COMDPhysical Medicine & Rehabilitation Physician
66278-21WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Rehabilitation Consultants Inc Physical Medicine & Rehabilitation CurrentSince Aug 2, 2021 Accepting new patients
Oak Medical SC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2020 Accepting new patients
Magnolia Rehabilitation Consultants Inc Physical Medicine & Rehabilitation Past Accepting new patients
Prohealth Medical Group Inc Physical Medicine & Rehabilitation Past Accepting new patients
Kindred Hospitals West, LLC Past Accepting new patients
Magnolia Rehabilitation Consultants Inc Physical Medicine & Rehabilitation Past Accepting new patients

Locations

700 Potomac St
Fl 2
Aurora, CO 80011
Phone (319) 273-8992

1920 N High St
Denver, CO 80218
Phone (303) 220-9948

4650 Central Park Blvd
Denver, CO 80238
Phone (662) 803-5799

2428 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 875-5070

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1508277856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181213",
            "telephone_number": "662-803-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 N Grandview Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531886906",
            "country_code": "US",
            "telephone_number": "262-875-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Brantley Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231711",
            "country_code": "US",
            "telephone_number": "662-803-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Ave",
            "address_2": "UW Hospitals & Clinics",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 Central Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80238",
            "country_code": "US",
            "telephone_number": "662-803-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Potomac St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800116846",
            "country_code": "US",
            "telephone_number": "662-803-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWANEBECK",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "66278-21",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0064830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.