Swamp Fitness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SWAMP FITNESS, LLC

Practice address

2345 NW 54TH Blvd
Gainesville, FL 32653-2009

Phone

(352) 562-0444

NPI assigned

Jul 28, 2018

Organization subpart

No

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

Authorized official

Name

Jarred Mussen

Title

Owner

Phone

(352) 562-0444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532736000000",
    "number": "1568940906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 NW 54TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532009",
            "telephone_number": "954-907-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 NW 54TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532009",
            "telephone_number": "352-562-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAMP FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-28",
        "last_updated": "2018-07-28",
        "status": "A",
        "authorized_official_last_name": "MUSSEN",
        "authorized_official_first_name": "JARRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-562-0444"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatjana Svjetlanovic
• Wendy T Swafford, ARNP
• Stephanie Swain, MOT, OTR/L
• Alexandra Swallows
• Swamp City Transportation LLC
• Jagadish M Swamy, AU.D, CCC-A, F-AAA
• Kalpana Nadig Swamy, PHD, LMHC
• Katherine Swan, ARNP FNP-BC
• Tricia Brenee Swan, MD
• Maggie Swanbeck

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; 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.