Active NPI
Thomas P Hafer, PT
- Physical Therapist
- Cape Coral, FL
National Provider Identifier
1598322869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6139
- Practice address
- 58 Nicholas Pkwy W #105
Cape Coral, FL 33991 - Phone
- (305) 570-1666
- Fax
- (239) 599-4746
- NPI assigned
- May 22, 2019
- 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 | PT6139 | FL | Primary |
Addresses
Primary practice location
58 Nicholas Pkwy W #105
Cape Coral, FL 33991
Mailing address
1872 Concordia Lake Cir Unit 209
Cape Coral, FL 33909-9049
Phone (239) 246-7623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT6139 | Other | FL | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tom@hafer.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6139 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johner Therapy Inc | Single Specialty | Current | Accepting new patients |
| Johner Therapy Inc | Single Specialty | Current | Accepting new patients |
Locations
706 SW Pine Island Rd
Unit 105
Cape Coral, FL 33991
Phone (239) 218-3978
11621 S Cleveland Ave
Ste 50
Fort Myers, FL 33907
Phone (239) 533-9903
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1598322869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1872 CONCORDIA LAKE CIR UNIT 209",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339099049",
"telephone_number": "239-246-7623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 NICHOLAS PKWY W #105",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33991",
"telephone_number": "305-570-1666",
"fax_number": "239-599-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFER",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PT6139",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tom@hafer.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "58 Nicholas Pkwy W #105",
"city": "Cape Coral",
"state": "FL",
"country_code": "US",
"postal_code": "33991",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.