Active NPI
Alexandra Culican, PT
- Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1043975154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006630
- Practice address
- 1823 N Brown Rd
Lawrenceville, GA 30043-8121 - Phone
- (404) 846-0899
- Fax
- (404) 351-5308
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006630 | GA | Primary |
Addresses
Primary practice location
1823 N Brown Rd
Lawrenceville, GA 30043-8121
Mailing address
4229 Brentwood Dr
Buford, GA 30518-9007
Phone (770) 912-3573
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006630 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1043975154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 BRENTWOOD DR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305189007",
"telephone_number": "770-912-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 N BROWN RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438121",
"telephone_number": "404-846-0899",
"fax_number": "404-351-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULICAN",
"first_name": "ALEXANDRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.