NATHAN GRANUM SWANSON-DINSMORE – Physical Therapist, NPI 1457225666

NATHAN GRANUM SWANSON-DINSMORE is a healthcare provider. based in Kirkland, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT70019035 (WA). The NPI Number for NATHAN GRANUM SWANSON-DINSMORE is 1457225666

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
NATHAN GRANUM SWANSON-DINSMORE
NPI
1457225666
Phone
(425) 979-7445
Address
6710 108TH AVE NE
Enumeration Date
1 October 2025
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4259797445
Graduation Year
2025 (1 year ago)
PAC ID
9335631084
Group Practice PAC ID
3577857903
Professional Enrollment ID
I20251120003558
Address ID
WA980337050KI6710XNEXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,542 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for NATHAN GRANUM SWANSON-DINSMORE

  • 6710 108TH AVE NE

    KIRKLAND, WA 980337050

    Phone: (425) 979-7445

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251120003558IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577857903View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

Is NATHAN GRANUM SWANSON-DINSMORE listed with a National Provider Identifier?
Yes — NATHAN GRANUM SWANSON-DINSMORE has NPI 1457225666 on file in the registry.
Is there an active status for NATHAN GRANUM SWANSON-DINSMORE?
For scheduling context, NATHAN GRANUM SWANSON-DINSMORE is shown as active in the registry.
What kind of doctor is NATHAN GRANUM SWANSON-DINSMORE?
NATHAN GRANUM SWANSON-DINSMORE is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NATHAN GRANUM SWANSON-DINSMORE?
Directory geography for NATHAN GRANUM SWANSON-DINSMORE centers on Kirkland, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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