Swell Endeavors Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SWELL ENDEAVORS PHYSICAL THERAPY, INC

Practice address

2770 Eureka Way Ste 100
Redding, CA 96001-0252

Phone

(530) 241-1900

Fax

(530) 241-2489

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mark Daniel Van Loan, MPT

Title

President

Phone

(530) 241-1900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Mark C Vanloan, P.T.

  • Physical Therapist
  • Redding, CA
  • NPI 1063589919
  Medicare reassignment NPD
• Phillip Gregory Gibson, PT

  • Physical Therapist
  • Redding, CA
  • NPI 1073726139
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1750538336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-241-1900",
            "fax_number": "530-241-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-241-1900",
            "fax_number": "530-241-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWELL ENDEAVORS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "VAN LOAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-241-1900",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT26561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Matthew Swanson, M.D.
• Thomas Raymond Swanson, M.D.
• Tyler Swanson
• Sara A Swearingen
• Swede Creek Surgical, Inc
• Jordan Swindle
• David Robert Sydow, MD
• Jest S Syvirathphan
• Kao C Syvirathphan
• Joy Llantino Tablizo

• Physical Therapist in Redding, CA
• Providers in Redding, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.