Individual provider Active NPI

Anthony Paul Gaziano, DPT, PT

  • Physical Therapist
  • Green Valley, AZ
National Provider Identifier
1659264810
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP051555T Issued in AZ
Practice address
101 S la Canada Dr Ste 35
Green Valley, AZ 85614-2663
Phone
(520) 365-0750
Fax
(520) 441-1465
NPI assigned
May 29, 2025
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 132299 IA
Physical Therapist 225100000X PT-2025-0138 NM
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CP051555T AZ Primary

Addresses

Primary practice location

101 S la Canada Dr Ste 35
Green Valley, AZ 85614-2663

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223003880 AZ Practitioner - Physical Therapist in Private Practice 4486149721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athlon Physical Therapy LLCGroup PAC ID 9739281544, 18 clinicians

Practice addresses (Care Compare)

101 S la Canada Dr
Suite 35
Green Valley, AZ 85614-2663
Phone (520) 365-0750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051555TAZMDPhysical Therapist
132299IAMDPhysical Therapist
PT-2025-0138NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athlon Physical Therapy, LLC Single Specialty CurrentSince Dec 11, 2025 Accepting new patients
Espanola Sports Medicine, PA Single Specialty CurrentSince Jun 3, 2025 Accepting new patients
Athlon Physical Therapy, LLC Single Specialty PastSince Dec 11, 2025 Accepting new patients

Locations

101 S La Canada Dr
Ste 35
Green Valley, AZ 85614
Phone (520) 365-0750

12460 N Rancho Vistoso Blvd
Ste 140
Oro Valley, AZ 85755
Phone (520) 615-6573

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

708 La Joya St
Espanola, NM 87532
Phone (505) 753-6550

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1659264810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LA CANADA DR STE 35",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142663",
            "telephone_number": "520-365-0750",
            "fax_number": "520-441-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZIANO",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "132299",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2025-0138",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP051555T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.