Provider Demographics
NPI:1417144825
Name:SWEARINGEN, JODY LEE (PT, MPT, STC)
Entity Type:Individual
Prefix:MR
First Name:JODY
Middle Name:LEE
Last Name:SWEARINGEN
Suffix:
Gender:M
Credentials:PT, MPT, STC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 NICHOL MILL LN STE LL10
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8324
Mailing Address - Country:US
Mailing Address - Phone:615-656-8907
Mailing Address - Fax:615-656-8908
Practice Address - Street 1:393 NICHOL MILL LN STE LL10
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8324
Practice Address - Country:US
Practice Address - Phone:615-656-8907
Practice Address - Fax:615-656-8908
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-29
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3727276Medicare PIN