Individual provider Active NPI

Thomas Swaldi, DPT

  • Physical Therapist
  • Marion Heights, PA
National Provider Identifier
1649388638
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009726L Issued in PA
Practice address
600 Park Ave
Marion Heights, PA 17832
Phone
(570) 373-3300
Fax
(570) 373-3363
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009726L PA Primary

Addresses

Primary practice location

600 Park Ave
Marion Heights, PA 17832

Mailing address

600 Park Ave
PO Box 427
Marion Heights, PA 17832
Phone (570) 373-3300

Other identifiers 3

IdentifierTypeStateIssuer
SW600656OtherPABLUE SHIELD
0019603340001MedicaidPA
50014442OtherPABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720000520 PA Practitioner - Physical Therapist in Private Practice 9436228434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star IncGroup PAC ID 6507754728, 2 clinicians

Practice addresses (Care Compare)

PO Box
Suite 427
Marion Heights, PA 17832-0427
Phone (570) 373-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009726LPAMDPhysical Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649388638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "address_2": "PO BOX 427",
            "city": "MARION HEIGHTS",
            "state": "PA",
            "postal_code": "17832",
            "telephone_number": "570-373-3300",
            "fax_number": "570-373-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK AVE",
            "city": "MARION HEIGHTS",
            "state": "PA",
            "postal_code": "17832",
            "telephone_number": "570-373-3300",
            "fax_number": "570-373-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALDI",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009726L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SW600656",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019603340001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50014442",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.