Gaelen Athanaze, DPT
Individual provider Active NPI Physical Therapist · Fort Hood, TX
NPI 1750058699 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1750058699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1368407 (TX)
- Practice address
- 590 Medical Center Road
Fort Hood, TX 76544 - Phone
- (254) 618-8127
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1368407 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1368407 | TX | Yes |
Addresses
Primary practice location
590 Medical Center Road
Fort Hood, TX 76544
Mailing address
36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Other providers in Fort Hood, TX
- Leslie Robert Armstrong
- Jose Guadalupe Arreola
- Abena A Asare
- Marcus Webb Asay Jr.
- Kiara J Ashley
- Chelsea Ausman
- Ray-Anthony Aviles
- Heather Avinger
- Steven Michael Ayers
- Christine M Bacsa
All providers in Fort Hood, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.