Gregory Gene Swartz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MO RO116 Issued in MO

Practice address

13010 White Ave
Ste. a.
Grandview, MO 64030-2667

Phone

(816) 761-3379

Fax

(816) 763-8306

NPI assigned

Jan 29, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1881730547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 WHITE AVE",
            "address_2": "STE. A.",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302667",
            "telephone_number": "816-761-3379",
            "fax_number": "816-763-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 WHITE AVE",
            "address_2": "STE. A.",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302667",
            "telephone_number": "816-761-3379",
            "fax_number": "816-763-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "GREGORY",
        "middle_name": "GENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "MO RO116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "25652018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Grandview, MO
• Providers in Grandview, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.