Primal Physical Therapy & Sports Medicine Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIMAL PHYSICAL THERAPY & SPORTS MEDICINE INC

Practice address

25 Coronado Rd
Warwick, RI 02886-1404

Phone

(508) 277-5233

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Timothy David Swenson, DPTNPI 1790239382

Title

Physical Therapist, Owner

Phone

(508) 277-5233

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy David Swenson, DPT

  • Physical Therapist
  • Warwick, RI
  • NPI 1790239382
  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1639706229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WILLIAMSBURG CIR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861741",
            "telephone_number": "508-277-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORONADO RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861404",
            "telephone_number": "508-277-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "508-277-5233",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Warwick, RI
• Providers in Warwick, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.