Healthcare Provider Details

I. General information

NPI: 1821907890
Provider Name (Legal Business Name): LILY KATHERINE SZWEJBKA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 KINGS LAKE DR UNIT 102
GIBSONTON FL
33534-3957
US

IV. Provider business mailing address

12748 COUNTRY BROOK LN
TAMPA FL
33625-4144
US

V. Phone/Fax

Practice location:
  • Phone: 813-725-3469
  • Fax:
Mailing address:
  • Phone: 910-584-1144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: