Provider Demographics
NPI:1275845430
Name:SWAIM, LINDSEY A (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:SWAIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 N SHENANDOAH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3643
Mailing Address - Country:US
Mailing Address - Phone:540-636-6179
Mailing Address - Fax:540-636-8753
Practice Address - Street 1:3127 VALLEY AVENUE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2635
Practice Address - Country:US
Practice Address - Phone:540-667-1800
Practice Address - Fax:540-667-3839
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA102850Medicare PIN