Individual provider Active NPI

Jane Michelle Gaffney, PT, DPT

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1942830948
Registry record updated Jan 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
045400-01 Issued in NY
Practice address
11 W 67TH St
New York, NY 10023-6237
Phone
(646) 973-5431
Fax
(212) 400-4229
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 045400-01 NY Primary

Addresses

Primary practice location

11 W 67TH St
New York, NY 10023-6237

Mailing address

212 W 91St St Apt 333
New York, NY 10024-1332
Phone (315) 406-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309001623 NY Practitioner - Physical Therapist in Private Practice 8729416607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045400-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Orthopedic CurrentSince Sep 1, 2021 Accepting new patients
Spear Physical and Occupational Therapy, LLC Orthopedic CurrentSince Mar 4, 2020 Accepting new patients
J.L.Glashow M.D.,P.C. Past Accepting new patients

Locations

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

307 5th Ave
Fl 6
New York, NY 10016
Phone (646) 790-7464

11 W 67th St
New York, NY 10023
Phone (212) 799-6700

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1942830948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 91ST ST APT 333",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241332",
            "telephone_number": "315-406-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236237",
            "telephone_number": "646-973-5431",
            "fax_number": "212-400-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "JANE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "045400-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.