Active NPI
Corin S Swartz, PT
- Physical Therapist
- Houghton, MI
National Provider Identifier
1518268259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- L1584187
- Practice address
- 1000 Cedar St
Houghton, MI 49931-1978 - Phone
- (906) 487-1710
- Fax
- (906) 487-9421
- NPI assigned
- Nov 11, 2010
- 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 | L1584187 | MI | Primary |
Addresses
Primary practice location
1000 Cedar St
Houghton, MI 49931-1978
Mailing address
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205164555 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1584187 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1518268259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6554",
"fax_number": "906-337-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CEDAR ST",
"city": "HOUGHTON",
"state": "MI",
"postal_code": "499311978",
"telephone_number": "906-487-1710",
"fax_number": "906-487-9421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "CORIN",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "L1584187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205164555",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houghton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.