Active NPI
Paul Swart, PT
- Orthopedic Physical Therapist
- Tallahassee, FL
National Provider Identifier
1588871446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT25224
- Practice address
- 2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586 - Phone
- (850) 656-1837
- NPI assigned
- May 17, 2007
- Last updated
- Oct 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT25224 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT25224 | IN |
Addresses
Primary practice location
2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586
Mailing address
2615 Centennial Blvd Ste 101
Suite 101
Tallahassee, FL 32308-0589
Phone (850) 656-1837
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 |
|---|---|---|---|
| PT25224 | IN | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1588871446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 CENTENNIAL BLVD STE 101",
"address_2": "SUITE 101",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080589",
"telephone_number": "850-656-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 CENTENNIAL BLVD",
"address_2": "SUITE 101",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080586",
"telephone_number": "850-656-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWART",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT25224",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "PT25224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.