Individual provider Active NPI

Gentian Shepherd Nuzzo, DPT

  • Physical Therapist
  • Avon, CO
National Provider Identifier
1376844530
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7615 Issued in CO
Practice address
142 Beaver Creek Blvd
Unit 109
Avon, CO 81620
Phone
(970) 306-8609
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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 7615 CO Primary

Addresses

Primary practice location

142 Beaver Creek Blvd
Unit 109
Avon, CO 81620

Mailing address

PO Box 13
Edwards, CO 81632-0013
Phone (970) 306-8609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000046 CO Practitioner - Physical Therapist in Private Practice 4183661614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Sports Medicine LLCGroup PAC ID 7214188895, 18 clinicians

Practice addresses (Care Compare)

142 Beaver Creek Place
Unit 109
Avon, CO 81620
Phone (970) 790-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Sports Medicine, LLC Physical Therapist CurrentSince Nov 1, 2012 Accepting new patients
Axis Sports Medicine, LLC Physical Therapist CurrentSince Nov 1, 2012 Accepting new patients
Vail Med Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1376844530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816320013",
            "telephone_number": "970-306-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEAVER CREEK BLVD",
            "address_2": "UNIT 109",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-306-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZO",
        "first_name": "GENTIAN",
        "middle_name": "SHEPHERD",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.