Active NPI
Kelly Swann, DPT
- Physical Therapist
- Easton, MD
National Provider Identifier
1679976427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25283
- Practice address
- 598 Cynwood Dr
Easton, MD 21601-3875 - Phone
- (410) 770-9720
- Fax
- (410) 770-9972
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- 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 | 25283 | MD | Primary |
Addresses
Primary practice location
598 Cynwood Dr
Easton, MD 21601-3875
Mailing address
659 S Salisbury Blvd Ste 1B
Salisbury, MD 21801-5458
Phone (410) 831-3226
Other names 1
- Kelly Fitzsimmons
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25283 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Therapy Florida, LLC | Physical Therapist | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Venice, FL
- NPI 1598270407
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1679976427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S SALISBURY BLVD STE 1B",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015458",
"telephone_number": "410-831-3226",
"fax_number": "410-677-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216013875",
"telephone_number": "410-770-9720",
"fax_number": "410-770-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANN",
"first_name": "KELLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "FITZSIMMONS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Easton, MD
- Sunrise Counseling - Positive and Caring - It Is Your Time LLC (Sunrise Counseling - Positive and Caring -It Is Your Time)
- Surgery Center of Easton LP
- Susan Knade LLC
- Susan T Forlifer, MD LLC
- Grace Suvoy
- Ronald C Sweet, M.D.
- Emileah Switzer, PA-C
- Alexander Blair Szczukowski, MD
- Myron James Szczukowski Jr., MD
- Dominic Szwaja, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.