Individual provider Active NPI

Gage Manzione, DPT

  • Physical Therapist
  • Stansbury Park, UT
National Provider Identifier
1336078567
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14286812-2401 Issued in UT
Practice address
576 E Highway 138 Ste 400
Stansbury Park, UT 84074-4028
Phone
(435) 833-9070
Fax
(435) 243-7375
NPI assigned
May 14, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14286812-2401 UT Primary

Addresses

Primary practice location

576 E Highway 138 Ste 400
Stansbury Park, UT 84074-4028

Mailing address

576 E Highway 138 Ste 400
Stansbury Park, UT 84074-4028
Phone (435) 833-9070

Other practice location 1

2321 N 400 E Ste 400
Tooele, UT 84074-3440
Phone (435) 833-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2321 N 400
Suite 400
Tooele, UT 84074-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14286812-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Clinic Corp CurrentSince Jul 16, 2026 Accepting new patients
Pagnani Physical Therapy Physical Therapist CurrentSince Jul 16, 2026 Accepting new patients

Locations

2321 N 400 E
Ste 400
Tooele, UT 84074
Phone (435) 553-4969

576 E Highway 138
Ste 400
Tooele, UT 84074
Phone (435) 833-9070

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1336078567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 E HIGHWAY 138 STE 400",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840744028",
            "telephone_number": "435-833-9070",
            "fax_number": "435-243-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E HIGHWAY 138 STE 400",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840744028",
            "telephone_number": "435-833-9070",
            "fax_number": "435-243-7375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 N 400 E Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840743440",
            "country_code": "US",
            "telephone_number": "435-833-9070",
            "fax_number": "435-243-7375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZIONE",
        "first_name": "GAGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "14286812-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.