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Gwendolyn Haffenden, DPT

NPI 1770367930ActiveIndividual· Physical Therapist· Rochester, NY

Physical Therapist (DPT) in Rochester, New York, trained at State University of Ny Upstate Medical University (class of 2023). Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1770367930
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedAug 21, 2023
Last updated in NPPESFeb 4, 2025
Certified by providerFeb 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X050753NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NY)

Medicare sources and data years

Education and affiliations

Medical schoolState University of Ny Upstate Medical University
Graduation year2023
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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