Healthcare Provider Details

I. General information

NPI: 1982534194
Provider Name (Legal Business Name): MICHAEL SWINIARSKI PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N MAIN STREET
LOVINGTON NM
88260
US

IV. Provider business mailing address

5109 KING KELLY RD
HOBBS NM
88240-1365
US

V. Phone/Fax

Practice location:
  • Phone: 575-396-6611
  • Fax:
Mailing address:
  • Phone: 575-396-6611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2023-2170
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: