Active NPI
Martin Gaffey III, PT
- Physical Therapist
- Broomfield, CO
National Provider Identifier
1790151793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10602
- Practice address
- 10901 W 120TH Ave
Suite 380
Broomfield, CO 80021-3418 - Phone
- (866) 302-0073
- NPI assigned
- Aug 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 10602 | CT | Primary |
Addresses
Primary practice location
10901 W 120TH Ave
Suite 380
Broomfield, CO 80021-3418
Mailing address
10901 W 120TH Ave
Suite 380
Broomfield, CO 80021-3418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10602 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma Inc | Current | Accepting new patients | |
| Fox Rehab PT CT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
215 E Main St
Clinton, CT 06413
Phone (860) 669-6636
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 4
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.
-
- Physical Therapist
- Wilton, CT
- NPI 1245584234
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Physical Therapy Clinic/Center
- New Haven, CT
- NPI 1306472576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1790151793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 W 120TH AVE",
"address_2": "SUITE 380",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 W 120TH AVE",
"address_2": "SUITE 380",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213418",
"telephone_number": "866-302-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAFFEY",
"first_name": "MARTIN",
"name_suffix": "III",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.