Individual provider Active NPI

Seaver Koufax Martin, PT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1710768320
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050748 Issued in NY
Practice address
121 Everett Rd
Albany, NY 12205-1474
Phone
(518) 489-2663
Fax
(518) 689-3728
NPI assigned
Oct 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050748 NY Primary
Physical Therapist 225100000X PT44311 FL

Addresses

Primary practice location

121 Everett Rd
Albany, NY 12205-1474

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700

Other practice location 1

8839 Bryan Dairy Rd Ste 240B
Largo, FL 33777-1203
Phone (727) 461-6026

Other practice location 2

1011 Jeffords St Bldg B
Clearwater, FL 33756-4070
Phone (727) 446-5993

Other identifiers 1

IdentifierTypeStateIssuer
07832451MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231114003455 NY Practitioner - Physical Therapist in Private Practice 6002263977 Reassigns benefits to 1 organization
I20260312000024 FL Practitioner - Physical Therapist in Private Practice 6002263977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedicsny, LLPGroup PAC ID 6901898170, 115 clinicians

Practice addresses (Care Compare)

1011 Jeffords St
BLDG C
Clearwater, FL 33756-4070
Phone (813) 978-9700

121 Everett Rd
Albany, NY 12205-1474
Phone (518) 489-2663

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Promoting interoperability
75
Improvement activities
40
Cost
88.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050748NYMDPharmacist
PT44311FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedicsny, LLP CurrentSince Nov 1, 2023 Accepting new patients
Orthopedicsny, LLP CurrentSince Nov 1, 2023 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Mar 30, 2026 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Mar 30, 2026 Accepting new patients

Locations

1011 Jeffords St
Bldg C
Clearwater, FL 33756
Phone (727) 446-5993

8839 Bryan Dairy Rd
Ste 240
Largo, FL 33777
Phone 81397897007646

8839 Bryan Dairy Rd
Ste 240B
Seminole, FL 33777
Phone (727) 591-3080

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

121 Everett Rd
Ste 200
Albany, NY 12205
Phone (518) 489-2524

121 Everett Rd
Colonie, NY 12205

Organizations & group practices 6

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1710768320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E FOWLER AVE STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172305",
            "telephone_number": "813-978-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051474",
            "telephone_number": "518-489-2663",
            "fax_number": "518-689-3728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8839 Bryan Dairy Rd Ste 240B",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337771203",
            "country_code": "US",
            "telephone_number": "727-461-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Jeffords St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337564070",
            "country_code": "US",
            "telephone_number": "727-446-5993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SEAVER",
        "middle_name": "KOUFAX",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050748",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07832451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.

Verify at the official NPI Registry.