MEDICARE: MARIA BETH SWAIM 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	P2267	NC

General Provider Information

NPI Number	:	1578802906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA BETH SWAIM PT

Provider Business Mailing Address
First Line	:	PO BOX 601791
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-1791
Country	:	US
Telephone Number	:	336-996-7001
Fax Number	:	336-996-0832

Provider Business Practice Location Address
First Line	:	109 GATEWAY CENTER DR
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-2999
Country	:	US
Telephone Number	:	336-996-7001
Fax Number	:	336-996-0832

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

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	04/24/2026

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