Individual provider Active NPI

Sadie Swiderski, DPT

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1851815823
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36700 Issued in FL
Practice address
214 S Dillard St
Winter Garden, FL 34787-3523
Phone
(407) 614-8898
NPI assigned
Aug 1, 2017
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10783 MN
Physical Therapist 225100000X 4531 MN
Physical Therapist 225100000X 36700 FL Primary

Addresses

Primary practice location

214 S Dillard St
Winter Garden, FL 34787-3523

Mailing address

214 S Dillard St
Winter Garden, FL 34787-3523
Phone (407) 614-8898

Other practice location 1

6550 York Ave S Ste 520
Edina, MN 55435-2336
Phone (952) 924-0199

Other practice location 2

2334 University Ave W Ste 170
Saint Paul, MN 55114-1859
Phone (651) 645-8083

Other practice location 3

10900 73rd Ave N Ste 110
Maple Grove, MN 55369-5400
Phone (763) 315-1296

Other practice location 4

800 E 28th St
Minneapolis, MN 55407-3723
Phone (612) 863-6029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000629 FL Practitioner - Physical Therapist in Private Practice 2567735723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3554 W Orange Country Club Dr
Suite 230
Winter Garden, FL 34787-5306
Phone (612) 325-6126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36700FLMDPhysical Therapist
10783MNMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Therapy Partners Inc Physical Therapist PastSince Jul 1, 2017 Accepting new patients

Locations

3554 W Orange Country Club Dr
Ste 230
Winter Garden, FL 34787
Phone (612) 325-6126

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

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1851815823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873523",
            "telephone_number": "407-614-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873523",
            "telephone_number": "407-614-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 York Ave S Ste 520",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352336",
            "country_code": "US",
            "telephone_number": "952-924-0199",
            "fax_number": "952-924-0314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2334 University Ave W Ste 170",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141859",
            "country_code": "US",
            "telephone_number": "651-645-8083",
            "fax_number": "651-645-8078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10900 73rd Ave N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695400",
            "country_code": "US",
            "telephone_number": "763-315-1296",
            "fax_number": "763-315-1297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 28th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073723",
            "country_code": "US",
            "telephone_number": "612-863-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIDERSKI",
        "first_name": "SADIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10783",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4531",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "36700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.