Individual provider Active NPI

Christopher Swanner, ATC/L, PTA

  • Physical Therapy Assistant
  • Fredericksburg, TX
National Provider Identifier
1659441129
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
8477A Issued in AZ
Practice address
1102 W Travis St
Fredericksburg, TX 78624
Phone
(830) 997-3781
Fax
(830) 997-3786
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0665 AZ
Physical Therapy Assistant 225200000X 8477A AZ Primary

Addresses

Primary practice location

1102 W Travis St
Fredericksburg, TX 78624

Mailing address

1102 W Travis St
Fredericksburg, TX 78624
Phone (830) 997-3781

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0665AZMDAcupuncturist
8477AAZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frank T Mills PastSince Feb 7, 2007 Accepting new patients

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1659441129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W TRAVIS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-3781",
            "fax_number": "830-997-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRAVIS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-3781",
            "fax_number": "830-997-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANNER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "ATC/L, PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0665",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8477A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.