Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Levi Montana Swan, PTA

Individual provider Physical Therapy Assistant · NPI 1952277378

Jacob Levi Montana Swan, PTA is a Physical Therapy Assistant in Laramie, Wyoming. Licensed in Wyoming. Registered with an NPI since 2025.

Licensed in
WY
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1609 Palomino Dr
Laramie, WY 82070-5393
Phone: (307) 299-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-0860 (WY)

Record details

NPI number1952277378
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

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