Active NPI
William Mead Swann, DPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1912615170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008079
- Practice address
- 2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543 - Phone
- (859) 257-4576
- Fax
- (859) 323-0614
- NPI assigned
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 008079 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Mailing address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Other practice location 1
780 E Brannon Rd
Nicholasville, KY 40356-6038
Phone (859) 443-7771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008079 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1912615170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043543",
"telephone_number": "859-257-4576",
"fax_number": "859-323-0614"
}
],
"practiceLocations": [
{
"address_1": "780 E Brannon Rd",
"address_purpose": "LOCATION",
"city": "Nicholasville",
"state": "KY",
"postal_code": "403566038",
"country_code": "US",
"telephone_number": "859-443-7771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANN",
"first_name": "WILLIAM",
"middle_name": "MEAD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.