=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922954809
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GIARDINA SPORTSMEDICINE CONSULTANTS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24980 N 83RD AVE UNIT 118
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85383-4363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-215-2077
-----------------------------------------------------
Fax | 623-215-8773
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24980 N 83RD AVE UNIT 118
-----------------------------------------------------
City | PEORIA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85383-4363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-215-2077
-----------------------------------------------------
Fax | 623-215-8773
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DREW GIARDINA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 602-499-1139
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------