Active NPI
Brady Christopher Swenson, DPT
- Physical Therapist
- Lino Lakes, MN
National Provider Identifier
1982955704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9101
- Practice address
- 7455 Village Dr
Lino Lakes, MN 55014-1181 - Phone
- (651) 717-3480
- NPI assigned
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 9101 | MN | Primary |
Addresses
Primary practice location
7455 Village Dr
Lino Lakes, MN 55014-1181
Mailing address
700 Washington Ave N
Unit 621
Minneapolis, MN 55401-1100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9101 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1982955704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WASHINGTON AVE N",
"address_2": "UNIT 621",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554011100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 VILLAGE DR",
"city": "LINO LAKES",
"state": "MN",
"postal_code": "550141181",
"telephone_number": "651-717-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "BRADY",
"middle_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lino Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.