Individual provider Active NPI

Timothy Joseph Swinchoski

  • Physical Therapy Assistant
  • Lenexa, KS
National Provider Identifier
1558726554
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-1123 Issued in KS
Practice address
15301 W 87TH St
Suite 200
Lenexa, KS 66219-1401
Phone
(913) 492-4888
Fax
(913) 492-4741
NPI assigned
Dec 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-1123 KS Primary

Addresses

Primary practice location

15301 W 87TH St
Suite 200
Lenexa, KS 66219-1401

Mailing address

2020 N 18TH St
Saint Joseph, MO 64505-2140
Phone (816) 262-5419

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-1123KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1558726554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N 18TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052140",
            "telephone_number": "816-262-5419",
            "fax_number": "913-492-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 W 87TH ST",
            "address_2": "SUITE 200",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191401",
            "telephone_number": "913-492-4888",
            "fax_number": "913-492-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINCHOSKI",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.

Verify at the official NPI Registry.