MEDICARE: BRANDON WEST SWART 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	PT41741	FL

General Provider Information

NPI Number	:	1548143886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON WEST SWART DPT

Provider Business Mailing Address
First Line	:	621 BATTLEGATE LN
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-7018
Country	:	US
Telephone Number	:	954-591-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	3657 CORTEZ RD W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3198
Country	:	US
Telephone Number	:	941-739-7828
Fax Number	:

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

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “ BRANDON WEST SWART DPT” Practice Location

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