Individual provider Active NPI

George J Giannoni, P.T.

  • Physical Therapist
  • Somerville, MA
National Provider Identifier
1346288081
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8466 Issued in MA
Practice address
66 Union SQ
Suite 204
Somerville, MA 02143-3040
Phone
(617) 666-9600
Fax
(617) 666-9601
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 8466 MA Primary

Addresses

Primary practice location

66 Union SQ
Suite 204
Somerville, MA 02143-3040

Mailing address

36 Twilight Dr
Granby, CT 06035-1212
Phone (860) 653-9075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000342 CT Practitioner - Physical Therapist in Private Practice 1850565359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Dynamic Health Physical TherapyGroup PAC ID 6901179936, 4 clinicians

Practice addresses (Care Compare)

35 Tower LN
Suite 110
Avon, CT 06001-4237
Phone (860) 404-2549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8466MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Physical Therapy Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

35 Tower Ln
Ste 110
Avon, CT 06001
Phone (860) 404-2549

12 Waterside Ct
Avon, CT 06001
Phone (860) 378-8833

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346288081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TWILIGHT DR",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060351212",
            "telephone_number": "860-653-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 UNION SQ",
            "address_2": "SUITE 204",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433040",
            "telephone_number": "617-666-9600",
            "fax_number": "617-666-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNONI",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.