Individual provider Active NPI

Nathan M. Swanson, DPT

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1780635243
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010027 Issued in WA
Practice address
7308 Bridgeport Way W
Ste. 203
Lakewood, WA 98499-8000
Phone
(253) 582-8500
Fax
(253) 582-8506
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 PT00010027 WA Primary

Addresses

Primary practice location

7308 Bridgeport Way W
Ste. 203
Lakewood, WA 98499-8000

Mailing address

4040 Orchard St W
Ste. 100
Fircrest, WA 98466-6606
Phone (253) 564-1560

Other identifiers 3

IdentifierTypeStateIssuer
237375OtherWAL & I
8450363OtherWADSHS
9735SWOtherWAREGENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060518000073 WA Practitioner - Physical Therapist in Private Practice 9638180151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ross M. Anderson, Anchor Physical TherapyGroup PAC ID 2062588924, 7 clinicians

Practice addresses (Care Compare)

6030 Main St SW
Suite D
Lakewood, WA 98499-6505
Phone (253) 474-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00010027WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ross M. Anderson, Anchor Physical Therapy Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Longview Physical and Sports Therapy Services PS Physical Therapist PastSince Mar 1, 2004 Accepting new patients

Locations

6030 Main St SW
Ste D
Lakewood, WA 98499
Phone (253) 347-4747

5815 Lakewood Towne Center Blvd SW
Ste G1
Lakewood, WA 98499
Phone (253) 235-3971

1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1780635243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "STE. 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 BRIDGEPORT WAY W",
            "address_2": "STE. 203",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998000",
            "telephone_number": "253-582-8500",
            "fax_number": "253-582-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "NATHAN",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "237375",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8450363",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9735SW",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.