Provider Demographics
NPI:1992808745
Name:JAMES M SWARTZ PT
Entity type:Organization
Organization Name:JAMES M SWARTZ PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MYERS
Authorized Official - Last Name:SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-252-5715
Mailing Address - Street 1:197 STATE STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1866
Mailing Address - Country:US
Mailing Address - Phone:315-252-5715
Mailing Address - Fax:315-252-5672
Practice Address - Street 1:197 STATE STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1866
Practice Address - Country:US
Practice Address - Phone:315-252-5715
Practice Address - Fax:315-252-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY81661225100000X
NY93951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00901735Medicaid
NYAA0956Medicare ID - Type Unspecified