Mark Stephen Caffey, PT, OCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

1085884 Issued in TX

Practice address

6913 Indiana Ave
Lubbock, TX 79413-6111

Phone

(806) 687-2788

Fax

(806) 687-2791

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CSK Medical PartnersGroup PAC ID 2466404447, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CSK Medical Partners

  dba Lubbock Sports Medicine Associates

  • Specialist
  • Lubbock, TX
  • NPI 1902842404
  Medicare reassignment Care Compare group NPD
• Rehab Source, Inc

  dba Rehab Source

  • Physical Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1720104482
  NPD (past) Authorized official
• CSK Medical Partners

  dba Lubbock Sports Rehab

  • Physical Therapy Clinic/Center
  • Lubbock, TX
  • NPI 1467576793
  NPD
• Lubbock Hand Therapy PLLC

  • Occupational Therapy Assistant
  • Lubbock, TX
  • NPI 1891845376
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093706012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136111",
            "telephone_number": "806-687-2788",
            "fax_number": "806-687-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136111",
            "telephone_number": "806-687-2788",
            "fax_number": "806-687-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFEY",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1085884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T2722",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Lin Caddell, LCDC
• Lauryn Brooke Cadena, FNP-C
• Caduceus Consulting (JRStar Home Health)
• Joseph Thomas Cafferata III, MD
• Carrie Gembler Caffey, M.D.
• Casey Lee Cain, DPT
• Madeleine Lexandra Cain, CNM, FNP-C
• Jean Kathleen Bernardo Cala, D.D.S.
• Calab, Inc
• Calab, Inc

• Specialist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.