MEDICARE: BRIDGET LEE SWIFT PT, 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	2305215965	VA

General Provider Information

NPI Number	:	1558224964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET LEE SWIFT PT, DPT

Provider Business Mailing Address
First Line	:	2706A COLLEY AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1134
Country	:	US
Telephone Number	:	757-216-4154
Fax Number	:	757-216-4152

Provider Business Practice Location Address
First Line	:	2706A COLLEY AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1134
Country	:	US
Telephone Number	:	757-216-4154
Fax Number	:	757-216-4152

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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