Active NPI
Paul W Gaffney, P.T.
- Physical Therapist
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000096E
- 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
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000096E | PA | 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 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1160690 | Other | PA | KEYSTONE MERCY |
| 4358754 | Other | PA | AETNA PROVIDER NUMBER |
| 2Y4335 | Other | PA | HEALTHNET |
| 0049563000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 30046 | Other | PA | AETNA HMO PROVIDER NUMBER |
| 1740457 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
491 Allendale Rd
King of Prussia, PA 19406-1430
Phone (610) 337-7155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000096E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W Gaffney | Physical Therapist | Current | Accepting new patients |
Locations
491 Allendale Rd
Ste 112
Kng of Prussa, PA 19406
Phone (610) 337-7155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- King of Prussia, PA
- NPI 1932326766
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba King of Prussia Physical Therapy and Sports Injury Center
- Physical Therapist
- King of Prussia, PA
- NPI 1215084223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518014620",
"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": {
"last_name": "GAFFNEY",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT000096E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1160690",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4358754",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2Y4335",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0049563000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER NUMBER",
"identifier": "30046",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740457",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 9, 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.