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General NPI Number Information
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NPI Number | 1649388638
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Entity Type | Individual
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Provider Name | THOMAS SWALDI DPT
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 600 PARK AVE
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City | MARION HEIGHTS
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State | PA
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Zip | 17832
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Country | US
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Telephone | 570-373-3300
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Fax | 570-373-3363
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Provider Business Mailing Address
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Address Line | 600 PARK AVE PO BOX 427
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City | MARION HEIGHTS
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State | PA
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Zip | 17832
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Country | US
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Telephone | 570-373-3300
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Fax | 570-373-3363
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009726L
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License Number State | PA
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Legacy Identifiers
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Identifier #1
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Identifier Code | SW600656
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | BLUE SHIELD
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Identifier #2
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Identifier Code | 0019603340001
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #3
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Identifier Code | 50014442
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | BLUE CROSS
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0019603340001
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #2
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Identifier Code | 50014442
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | BLUE CROSS
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Identifier #3
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Identifier Code | SW600656
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | BLUE SHIELD
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