Individual provider Active NPI

Vincent Louis Tafuto, DPT

  • Physical Therapist
  • Atascadero, CA
National Provider Identifier
1205877628
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295875 Issued in CA
Practice address
6907 El Camino Real Ste D
Atascadero, CA 93422-4386
Phone
(805) 466-6719
Fax
(805) 466-5286
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 005284 CT
Physical Therapist 225100000X 295875 CA Primary

Addresses

Primary practice location

6907 El Camino Real Ste D
Atascadero, CA 93422-4386

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Other practice location 1

500 Chase Pkwy
Waterbury, CT 06708-3346
Phone (203) 754-2266

Other practice location 2

1983 Commerce Center Cir
Prescott, AZ 86301-4454
Phone (928) 771-1700

Other identifiers 1

IdentifierTypeStateIssuer
004203626MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130830000745 CT Practitioner - Physical Therapist in Private Practice 5294978763 Reassigns benefits to 1 organization
I20220425000016 SC Practitioner - Physical Therapist in Private Practice 5294978763 Reassigns benefits to 1 organization
I20260127001644 CA Practitioner - Physical Therapist in Private Practice 5294978763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

1933 E Main St
Torrington, CT 06790-3102
Phone (959) 901-0640

6907 El Camino Real
Suite D
Atascadero, CA 93422-4386
Phone (805) 466-6719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295875CAMDPhysical Therapist
005284CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist CurrentSince Oct 20, 2025 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 4, 2022 Accepting new patients
Ptsma Inc CurrentSince Oct 20, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Carlson Therapy Network, PC Physical Therapist PastSince May 1, 2021 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

7325 El Camino Real
Atascadero, CA 93422
Phone (805) 466-6719

6907 El Camino Real
Ste D
Atascadero, CA 93422
Phone (805) 466-6719

533 Five Cities Dr
Ste C6
Pismo Beach, CA 93449
Phone (805) 489-7912

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

1933 E Main St
Torrington, CT 06790
Phone (959) 901-0640

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

1520 E Greenville St
Ste G
Anderson, SC 29621
Phone (864) 224-6070

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 8

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1205877628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 EL CAMINO REAL STE D",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224386",
            "telephone_number": "805-466-6719",
            "fax_number": "805-466-5286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Chase Pkwy",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067083346",
            "country_code": "US",
            "telephone_number": "203-754-2266",
            "fax_number": "203-591-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1983 Commerce Center Cir",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863014454",
            "country_code": "US",
            "telephone_number": "928-771-1700",
            "fax_number": "928-771-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAFUTO",
        "first_name": "VINCENT",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005284",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004203626",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.