Gary Gifford, PT/DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024672 Issued in PA

Practice address

1003 N Keyser Ave
Scranton, PA 18504-9728

Phone

(570) 343-7663

Fax

(570) 343-7664

NPI assigned

Sep 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1316617657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049728",
            "telephone_number": "570-343-7663",
            "fax_number": "570-343-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185049728",
            "telephone_number": "570-343-7663",
            "fax_number": "570-343-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@becorefit.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Palko & Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1003 N Keyser Ave",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185049728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Scranton, PA
• Providers in Scranton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.