Maud Izette Swan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7502 Issued in WA

Practice address

9725 3Rd Ave NE
Seattle, WA 98115-2060

Phone

(206) 706-7500

NPI assigned

Aug 31, 2006

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

Other identifiers 2

Other names 1

• Izette Swan Other name

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.

• Movement Systems Physical Therapy, P.S.

  • Physical Therapist
  • Seattle, WA
  • NPI 1659324051
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Seatle, WA
  • NPI 1831175967
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1841301702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-706-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152060",
            "telephone_number": "206-706-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "MAUD",
        "middle_name": "IZETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT7502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8331639",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I",
            "identifier": "165922",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IZETTE",
            "last_name": "SWAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jelena Natascha Svircev, M.D.
• Mark C Svore, DDS
• SW Seattle Operations, LLC
• Nicole Swaffer
• Maya Swaminathan, M.D.
• Scott Carlton Swan, LMHC, CN
• Aaron Arthur Swanberg
• Diane Elizabeth Swanberg, MSW, CDP
• Bailey Swancoat
• Carissa Lee Swanger

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.