Active NPI
Zaras Wellness LLC
- Physical Therapist
- Lilburn, GA
National Provider Identifier
1073231387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nilofer Keshwani, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.