Individual provider Active NPI

Garret M Gianni, ATC

  • Athletic Trainer
  • Audubon, PA
National Provider Identifier
1477510303
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003002 Issued in PA
Practice address
2804 Audubon Village Dr
Audubon, PA 19403-2262
Phone
(610) 676-0411
NPI assigned
Apr 26, 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
Athletic Trainer 2255A2300X RT003002 PA Primary

Addresses

Primary practice location

2804 Audubon Village Dr
Audubon, PA 19403-2262

Mailing address

1151 Kingsway Rd
Apt 3
West Chester, PA 19382-5127
Phone (610) 696-1559

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT003002PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Aquasport Physical Therapy, P.C. Past Accepting new patients

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477510303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 KINGSWAY RD",
            "address_2": "APT 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825127",
            "telephone_number": "610-696-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 AUDUBON VILLAGE DR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032262",
            "telephone_number": "610-676-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNI",
        "first_name": "GARRET",
        "middle_name": "M",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, PA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.