Active NPI
William Bruce Swain
- Physical Therapy Assistant
- Clarkston, MI
National Provider Identifier
1861041345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 4800 Clintonville Rd
Clarkston, MI 48346-4297 - Phone
- (248) 674-0309
- NPI assigned
- Sep 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
4800 Clintonville Rd
Clarkston, MI 48346-4297
Mailing address
188 Peninsula Lake Dr
Highland, MI 48357-2851
Phone (248) 505-4289
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | highland | ||
| CONNECT URL | highland | ||
| CONNECT URL | highland |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1861041345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 PENINSULA LAKE DR",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483572851",
"telephone_number": "248-505-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 CLINTONVILLE RD",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464297",
"telephone_number": "248-674-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "WILLIAM",
"middle_name": "BRUCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "highland",
"affiliation": "N",
"address_1": "4800 Clintonville Rd",
"city": "Clarkston",
"state": "MI",
"country_code": "US",
"postal_code": "483464297",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "highland",
"affiliation": "N",
"address_1": "4800 Clintonville Rd",
"city": "Clarkston",
"state": "MI",
"country_code": "US",
"postal_code": "483464297",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "highland",
"affiliation": "N",
"address_1": "4800 Clintonville Rd",
"city": "Clarkston",
"state": "MI",
"country_code": "US",
"postal_code": "483464297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.