Timothy David Swenson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02929 Issued in RI

Practice address

25 Coronado Rd
Warwick, RI 02886-1404

Phone

(508) 277-5233

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primal Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • Warwick, RI
  • NPI 1639706229
  NPD Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1790239382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WILLIAMSBURG CIR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861741",
            "telephone_number": "508-277-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORONADO RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861404",
            "telephone_number": "508-277-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT02929",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvester C Sviokla, M.D.
• Stephanie Swain, LCSW
• Barbara Sweeney, LCSW, CFLE
• John Sweet
• Karen H Sweitzer, PA-C
• Lindsey Swider, DPT
• Swift Patch LLC
• Shawna Swift
• Victoria A Swillum
• Joseph John Swinski III, LMT

• Physical Therapist in Warwick, RI
• Providers in Warwick, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.