Individual provider Active NPI

Thomas Henry Lazzari

  • Physical Therapy Assistant
  • Athens, GA
National Provider Identifier
1487573036
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
005451 Issued in GA
Practice address
933 US-29 N, Athens, Ga 30601
Athens, GA 30601
Phone
(762) 499-6364
NPI assigned
Jul 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 005451 GA Primary

Addresses

Primary practice location

933 US-29 N, Athens, Ga 30601
Athens, GA 30601

Mailing address

1121 Oconee Forest Dr
Watkinsville, GA 30677-2499
Phone (706) 424-1124

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

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1487573036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 OCONEE FOREST DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772499",
            "telephone_number": "706-424-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 US-29 N, ATHENS, GA 30601",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30601",
            "telephone_number": "762-499-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARI",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "005451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.