Individual provider Active NPI

Nicholas Gazo, PT

  • Physical Therapist
  • South Miami, FL
National Provider Identifier
1841370806
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 19322 Issued in FL
Practice address
5975 Sunset Dr
405
South Miami, FL 33143-5166
Phone
(305) 661-8040
Fax
(305) 661-8891
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 PT 19322 FL Primary

Addresses

Primary practice location

5975 Sunset Dr
405
South Miami, FL 33143-5166

Mailing address

5975 Sunset Dr
405
South Miami, FL 33143-5166
Phone (305) 661-8040

Other practice location 1

11440 N Kendall Dr Ste 101
Miami, FL 33176-1024
Phone (305) 459-5667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000935 FL Practitioner - Physical Therapist in Private Practice 0840274882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Miami Neurology and Rehabilitation Specialists IncGroup PAC ID 3375526981, 2 clinicians

Practice addresses (Care Compare)

11440 N Kendall Dr
Suite 101
Miami, FL 33176-1024
Phone (305) 459-5667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 19322FLMDPhysical Therapist

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, 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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1841370806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR",
            "address_2": "405",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435166",
            "telephone_number": "305-661-8040",
            "fax_number": "305-661-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR",
            "address_2": "405",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435166",
            "telephone_number": "305-661-8040",
            "fax_number": "305-661-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11440 N Kendall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761024",
            "country_code": "US",
            "telephone_number": "305-459-5667",
            "fax_number": "305-421-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZO",
        "first_name": "NICHOLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 19322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.