Organization Active NPI

SVS Physical Therapy, LLC

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1679131122
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SVS PHYSICAL THERAPY, LLC
Practice address
14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201
Phone
(319) 538-2498
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Jordan McSweeney, DPTNPI 1902336860
Title
Ceo
Phone
(319) 538-2498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201

Mailing address

14270 W Indian School Rd Ste C4
Goodyear, AZ 85395-9201
Phone (319) 538-2498

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000389 AZ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092147314 Receives reassigned benefits from 2 practitioners
Practice locations: Goodyear, AZ

National Provider Directory

National Provider Directory

Locations

14270 W Indian School Rd
#C1C9
Goodyear, AZ 85395

14270 W Indian School Rd
Ste C4
Goodyear, AZ 85395
Phone (623) 440-4445

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1679131122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 W INDIAN SCHOOL RD STE C4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959201",
            "telephone_number": "319-538-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14270 W INDIAN SCHOOL RD STE C4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959201",
            "telephone_number": "319-538-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "MCSWEENEY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-538-2498",
        "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": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.