MEDICARE: CAROLINE SWENSON PT

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	30764	MD

General Provider Information

NPI Number	:	1558226084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE SWENSON PT

Provider Business Mailing Address
First Line	:	45090 CLARK ST
Second Line	:
City	:	CALIFORNIA
State	:	MD
Zip	:	20619-2430
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23511 HOLLYWOOD RD
Second Line	:
City	:	LEONARDTOWN
State	:	MD
Zip	:	20650-5921
Country	:	US
Telephone Number	:	240-980-8569
Fax Number	:

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	02/10/2026

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Directions to “ CAROLINE SWENSON PT” Practice Location

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