Active NPI
Amber Swedberg, PT
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1508917006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009851
- Practice address
- 4455 148TH Ave NE
Bellevue, WA 98007-3120 - Phone
- (425) 895-6546
- Fax
- (425) 681-6277
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009851 | WA | Primary |
Addresses
Primary practice location
4455 148TH Ave NE
Bellevue, WA 98007-3120
Mailing address
4455 148TH Ave NE
Bellevue, WA 98007-3120
Phone (425) 895-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15315 1St Ave NE
Suite 5
Duvall, WA 98019-5004
Phone (425) 788-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009851 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Rehabilitation Group PLLC | Physical Therapist | Current | Accepting new patients |
| Tuohy Physical Therapy LLC | Past | Accepting new patients |
Locations
26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425
17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772
Organizations & group practices 2
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.
-
- Physical Therapist
- Woodinville, WA
- NPI 1144735721
-
- Physical Therapy Clinic/Center
- Redmond, WA
- NPI 1336471143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 148TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073120",
"telephone_number": "425-895-6546",
"fax_number": "425-681-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 148TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073120",
"telephone_number": "425-895-6546",
"fax_number": "425-681-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEDBERG",
"first_name": "AMBER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.