Individual provider Active NPI

Swapnil Sunil Dalal, DPT, PT

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1770192643
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018753 Issued in OH
Practice address
4329 Mahoning Ave NW
Warren, OH 44483-1974
Phone
(330) 583-5321
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 PT018753 OH Primary

Addresses

Primary practice location

4329 Mahoning Ave NW
Warren, OH 44483-1974

Mailing address

18230 Williamsburg Oval
Strongsville, OH 44136-7090
Phone (440) 263-2714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124002096 OH Practitioner - Physical Therapist in Private Practice 6800207846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Tender Touch at Home NJ LLC Physical Therapist Past Accepting new patients

Locations

6199 Frank Ave NW
North Canton, OH 44720
Phone (330) 244-2599

795 Bardshar Rd
Sandusky, OH 44870
Phone (419) 609-1847

Organizations & group practices 2

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1770192643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 WILLIAMSBURG OVAL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441367090",
            "telephone_number": "440-263-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831974",
            "telephone_number": "330-583-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SWAPNIL",
        "middle_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.