Kevin Alan Swindale, CPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1400751 Issued in KS

Practice address

104 W Market St
Suite B
Osage City, KS 66523-1277

Phone

(785) 528-1123

Fax

(785) 528-4123

NPI assigned

Sep 20, 2010

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salt Creek Rehab LLC

  • Physical Therapy Assistant
  • Osage City, KS
  • NPI 1235243460
  NPD (past) Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1922316348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MARKET ST",
            "address_2": "SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665231277",
            "telephone_number": "785-528-1123",
            "fax_number": "785-528-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MARKET ST",
            "address_2": "SUITE B",
            "city": "OSAGE CITY",
            "state": "KS",
            "postal_code": "665231277",
            "telephone_number": "785-528-1123",
            "fax_number": "785-528-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINDALE",
        "first_name": "KEVIN",
        "middle_name": "ALAN",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1400751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY TAX ID#",
            "identifier": "20-5322594",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMAP GROUP NUMBER",
            "identifier": "200431220A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1235242460",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Seeman, M.D.
• Daniel Erin Smith, O.D.
• Stormont-Vail Healthcare Inc
• Teresa Barker Sturm, RPT
• Carter Swindale, DPT
• Elton Laverne Taylor, D.C.
• Techs Inc
• Vintage Park at Osage City, LLC
• Jodi L Wulfkuhle, APRN

• All providers in Osage City, KS
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.