Active NPI
Rebecca Nelson Swick, DPT
- Pediatric Physical Therapist
- St Petersburg, FL
National Provider Identifier
1932250255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT24601
- Practice address
- 500 7TH Ave S
St Petersburg, FL 33701-4820 - Phone
- (727) 767-8065
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008402 | GA | |
| Pediatric Physical Therapist | 2251P0200X | PT24601 | FL | Primary |
Addresses
Primary practice location
500 7TH Ave S
St Petersburg, FL 33701-4820
Mailing address
500 7TH Ave S
St. Petersburg, FL 33701-6106
Phone (727) 767-8065
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516296383A | Medicaid | GA | |
| 337214 | Medicaid | GA | |
| 10047152 | Medicaid | GA | |
| 52187853 | Other | GA | BLUE CROSS BLUE SHEILD |
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 |
|---|---|---|---|
| PT008402 | GA | MD | Physical Therapist |
| PT24601 | FL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1932250255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 7TH AVE S",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337016106",
"telephone_number": "727-767-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 7TH AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014820",
"telephone_number": "727-767-8065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWICK",
"first_name": "REBECCA",
"middle_name": "NELSON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008402",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT24601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "516296383A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "337214",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10047152",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "52187853",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.