Organization Active NPI

Paul W Gaffney

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1215084223
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PAUL W GAFFNEY
Practice address
491 Allendale Rd
Suite 112
King of Prussia, PA 19406-1426
Phone
(610) 337-7155
Fax
(610) 337-7111
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Paul W Gaffney, P.T.NPI 1518014620
Title
Owner
Phone
(610) 337-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

491 Allendale Rd
Suite 112
King of Prussia, PA 19406-1426

Mailing address

491 Allendale Rd
Suite 112
King of Prussia, PA 19406-1426
Phone (610) 337-7155

Other identifiers 4

IdentifierTypeStateIssuer
001755441OtherPAHIGHMARK BLUE SHIELD
2421829000OtherPAINDEPENDENCE BLUE CROSS
1005470OtherPAKEYSTONE MERCY
2421829000OtherPAAMERIHEALTH HMO

Other names 1

  • King of Prussia Physical Therapy and Sports Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

491 Allendale Rd
Ste 112
Kng of Prussa, PA 19406
Phone (610) 337-7155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1215084223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "SUITE 112",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061426",
            "telephone_number": "610-337-7155",
            "fax_number": "610-337-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "SUITE 112",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061426",
            "telephone_number": "610-337-7155",
            "fax_number": "610-337-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W GAFFNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-337-7155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001755441",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2421829000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1005470",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2421829000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King of Prussia Physical Therapy and Sports Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.