Ethan A Swindell, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41618 Issued in FL

Practice address

7710 S US Highway 1
Port St Lucie, FL 34952-2320

Phone

(772) 335-5300

Fax

(772) 200-2131

NPI assigned

May 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment Care Compare group NPD
• Coastal Orthopaedics & Sports Medicine Center

  dba Coastal Orthopaedic & Sports Medicine Center

  • Specialist
  • Port Saint Lucie, FL
  • NPI 1245291988
  NPD (past)
• Coastal Orthopaedics & Sports Medicine Center

  • Specialist
  • Stuart, FL
  • NPI 1417271578
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1528817384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 SE Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963341",
            "country_code": "US",
            "telephone_number": "772-335-5300",
            "fax_number": "772-200-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINDELL",
        "first_name": "ETHAN",
        "middle_name": "A",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Mathew Swanson, MD
• Mark Douglas Swart, PT
• Stacy Sweeney, NP
• Lauren Sweet
• Beverly Diane Sweeting, LPN, CLC, MSW
• Katie Swiss
• Jasmine Sydney
• Sykes Chiropractic Life Center
• Raymond M Sykes, DC
• Elaine Sylvester-Barrett

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

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

Verify at the official NPI Registry.