Organization Active NPI

Zaras Wellness LLC

  • Physical Therapist
  • Lilburn, GA
National Provider Identifier
1073231387
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ZARAS WELLNESS LLC
Practice address
3100 Five Forks Trickum Rd SW Ste 603
Lilburn, GA 30047-1860
Phone
(678) 292-6150
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Nilofer Keshwani, DPTNPI 1013009992
Title
Owner
Phone
(718) 288-1082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3100 Five Forks Trickum Rd SW Ste 603
Lilburn, GA 30047-1860

Mailing address

1081 Nash Lee Dr SW
Lilburn, GA 30047-7632

Other names 1

  • BrightLife Physical Therapy & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418002946 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456726793 Receives reassigned benefits from 1 practitioner
Practice locations: Lilburn, GA

National Provider Directory

National Provider Directory

Locations

3100 Five Forks Trickum Rd SW
Ste 603
Lilburn, GA 30047
Phone (678) 292-6150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1073231387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 NASH LEE DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 FIVE FORKS TRICKUM RD SW STE 603",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471860",
            "telephone_number": "678-292-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZARAS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KESHWANI",
        "authorized_official_first_name": "NILOFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-288-1082",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightLife Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.