Individual provider Active NPI

Piotr Swiatkowski, P.T.

  • Physical Therapist
  • Columbia City, IN
National Provider Identifier
1861805541
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004466 Issued in IN
Practice address
1260 East State Road 205
Columbia City, IN 46725
Phone
(260) 248-9530
Fax
(260) 248-9136
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004466 IN Primary

Addresses

Primary practice location

1260 East State Road 205
Columbia City, IN 46725

Mailing address

1260 East State Road 205
Parkview Whitley Hospital,
Columbia City, IN 46725
Phone (260) 248-9530

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

State licenses

LicenseStateTypeSpecialty
05004466INMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1861805541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 EAST STATE ROAD 205",
            "address_2": "PARKVIEW WHITLEY HOSPITAL,",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "46725",
            "telephone_number": "260-248-9530",
            "fax_number": "260-248-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EAST STATE ROAD 205",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "46725",
            "telephone_number": "260-248-9530",
            "fax_number": "260-248-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIATKOWSKI",
        "first_name": "PIOTR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.