Active NPI
Daniel Douglas Swatfager, PT
- Physical Therapist
- Edina, MN
National Provider Identifier
1629401419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9433
- Practice address
- 7373 France Ave S
Edina, MN 55435-4534 - Phone
- (952) 428-0600
- NPI assigned
- Aug 15, 2013
- Last updated
- Jun 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9433 | MN | Primary |
Addresses
Primary practice location
7373 France Ave S
Edina, MN 55435-4534
Mailing address
727 Minnesota St Apt 103
Monticello, MN 55362-8593
Phone (507) 219-0215
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Lake Spine & Sport, PA | Current | Accepting new patients |
Locations
1260 Highway 25 S
Monticello, MN 55362
Phone (763) 260-8401
Interoperability endpoints
- dswatfager185188@excellian.direct.allina.com
Organizations & group practices 1
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": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1629401419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 MINNESOTA ST APT 103",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628593",
"telephone_number": "507-219-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554354534",
"telephone_number": "952-428-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWATFAGER",
"first_name": "DANIEL",
"middle_name": "DOUGLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.