Individual provider Active NPI

Thomas P Hafer, PT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1598322869
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6139 Issued in FL
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

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

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

IdentifierTypeStateIssuer
PT6139OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
PT6139FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johner Therapy Inc Single Specialty CurrentSince Apr 24, 2020 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.

Verify at the official NPI Registry.