Mark Gajtka, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022999 Issued in PA

Practice address

56299 29 Palms Hwy
Yucca Valley, CA 92284-2857

Phone

(760) 369-1743

NPI assigned

Aug 18, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Dingmans Ferry, PA
  • NPI 1164944245
  Medicare reassignment
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Homestead, PA
  • NPI 1184174476
  NPD
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Macungie, PA
  • NPI 1205386547
  NPD
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Butler, PA
  • NPI 1336878941
  NPD

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1770916348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56299 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56299 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842857",
            "telephone_number": "760-369-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJTKA",
        "first_name": "MARK",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "022999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Culver Fraser, PA-C
• Mary O Frazier-Rivers
• Dina L. Fulgoni
• Ronald Gahagan
• Nichole Theresa Gaines
• Jesus Arechiga Gamboa, FNP
• Wendy Joanna Garcia Corado, LMT
• Mariah Garcia, MA
• Ruben Garcia
• Patricia Gardner

• Physical Therapist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.