Individual provider Active NPI

Stefanie Jo Swinton, DPT

  • Physical Therapist
  • Waterloo, IA
National Provider Identifier
1538424874
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004973 Issued in IA
Practice address
125 E Tower Park Dr
Waterloo, IA 50701-9330
Phone
(319) 232-6339
NPI assigned
Jul 12, 2012
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004973 IA Primary

Addresses

Primary practice location

125 E Tower Park Dr
Waterloo, IA 50701-9330

Mailing address

PO Box 2758
4150 Kimball Avenue
Waterloo, IA 50704-2758
Phone (319) 235-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stefanie.swinton@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000597 IA Practitioner - Physical Therapist in Private Practice 6204084460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 E Tower Park Dr
Waterloo, IA 50701-9330
Phone (319) 234-5990

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Nov 26, 2012 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Nov 26, 2012 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Core Physical Therapy Inc Physical Therapist PastSince Mar 1, 2006 Accepting new patients

Locations

125 E Tower Park Dr
Waterloo, IA 50701
Phone (319) 232-6339

1631 Logan Ave
Waterloo, IA 50703
Phone (319) 232-2630

1731 W Ridgeway Ave
Ste 600
Waterloo, IA 50701
Phone (319) 833-5900

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

Interoperability endpoints

  • Direct secure messaging: stefanie.swinton@cvms.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1538424874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "address_2": "4150 KIMBALL AVENUE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E TOWER PARK DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019330",
            "telephone_number": "319-232-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTON",
        "first_name": "STEFANIE",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefanie.swinton@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "125 E Tower Park Dr",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507019330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.