Nick Gaffney, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

104 Fakes CT
Beaver Dam, WI 53916-2699

Phone

(920) 356-9818

NPI assigned

Jun 20, 2017

Last updated

Jun 20, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1467972505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CHELSEA CT",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549528915",
            "telephone_number": "920-850-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAKES CT",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162699",
            "telephone_number": "920-356-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "NICK",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Frey
• Christina Friedl, MD
• Shari Friedrichs, L.AC.
• Charles W Frinak, MD
• Brittany Nicole Froeming, CNM
• Lorena Galvan
• Joseph Ganske, PT
• Jeffrey L Garbelman, PHD
• Jennifer Garde, L.AC.
• Nicole Lee Gates, DPT

• Physical Therapy Assistant in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.