Nishith Oza, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005397 Issued in GA

Practice address

475 Philip Blvd
Lawrenceville, GA 30046-8737

Phone

(770) 995-3300

Fax

(770) 995-3307

NPI assigned

Sep 21, 2006

Last updated

Jan 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nishith.oza.1@32352.direct.athenahealth.com

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.

• Gwinnett Clinic LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Dacula, GA
  • NPI 1467463885
  NPD
• Gwinnett Clinic, LTD

  dba Gwinnett Clinic

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Lawrenceville, GA
  • NPI 1548271026
  NPD
• Gwinnett Cardiology Services LLC

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
  • NPI 1306185491
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1063511749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MEDLOCK BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468737",
            "telephone_number": "770-995-3300",
            "fax_number": "770-995-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZA",
        "first_name": "NISHITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelle M. Owens, M.D.
• Sarah Anne Owens, CNM
• Anne Gyamfi Owusu, CRNA
• Oluwakemi Abiodun Oyedeji, PHARMACIST
• Rotimi Oyewole, P.T
• P E T Imaging of Gwinnett LLC (Trident PET of Gwinnett)
• Lesley Pacateque
• Hannah Shalini Packiam, MD
• Erica M Padilla
• Emma Paduraru

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.