Provider Demographics
NPI:1679131122
Name:SVS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:SVS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCSWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:319-538-2498
Mailing Address - Street 1:14270 W INDIAN SCHOOL RD STE C4
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-9201
Mailing Address - Country:US
Mailing Address - Phone:319-538-2498
Mailing Address - Fax:
Practice Address - Street 1:14270 W INDIAN SCHOOL RD STE C4
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-9201
Practice Address - Country:US
Practice Address - Phone:319-538-2498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty