Nicole Swistun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029835 Issued in NY

Practice address

174 E Main St
East Islip, NY 11730-2633

Phone

(631) 277-9283

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Shore Physical Therapy LLPGroup PAC ID 7911174479, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Shore Physical Therapy, LLP

  • Physical Therapy Clinic/Center
  • East Islip, NY
  • NPI 1295911071

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1811428063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302633",
            "telephone_number": "631-277-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISTUN",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suffolk Restorative Therapy & Nursing, LLC
• Sunrise Counseling Center,LTD
• Sunrise Counseling LCSW. PLLC
• Sunrise Counselling Center
• Pauline Super, LPN
• Syedqambar R Naqvi Physician P.C.
• James Paul Tardi, DPM
• Jennifer Tedesco, RPH
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #561)
• Thomas Davies DPM

• Physical Therapist in East Islip, NY
• Providers in East Islip, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.