MEDICARE: DR. KIMBERLY SWINSON-MOLLICA DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	034614	AZ

General Provider Information

NPI Number	:	1033078894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY SWINSON-MOLLICA DPT

Provider Business Mailing Address
First Line	:	1010 E BETH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 E BETH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7805
Country	:	US
Telephone Number	:	217-685-1457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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