Organization Active NPI

Swell Physical Therapy & Performance, LLC

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1508586769
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SWELL PHYSICAL THERAPY & PERFORMANCE, LLC
Practice address
5007 N Davis Hwy Ste 14
Pensacola, FL 32503-2304
Phone
(850) 696-6878
Fax
(850) 203-2589
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Dr. Anthony Paul Inzillo, PT, DPTNPI 1619499787
Title
Physical Therapist, Owner
Phone
(850) 696-6878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5007 N Davis Hwy Ste 14
Pensacola, FL 32503-2304

Mailing address

5455 Primrose Dr
Pensacola, FL 32504-8445

Other practice location 1

5455 Primrose Dr
Pensacola, FL 32504-8445
Phone (850) 696-6878

National Provider Directory

National Provider Directory

Locations

5007 N Davis Hwy
Ste 14
Pensacola, FL 32503
Phone (850) 696-6878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1508586769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 PRIMROSE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 N DAVIS HWY STE 14",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032304",
            "telephone_number": "850-696-6878",
            "fax_number": "850-203-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5455 Primrose Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048445",
            "country_code": "US",
            "telephone_number": "850-696-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWELL PHYSICAL THERAPY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "INZILLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "850-696-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.