Active NPI
Kathryn Pender Nabulsi, PT
- Physical Therapist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008090
- Practice address
- 3330 Preston Ridge Rd Ste 240
Alpharetta, GA 30005-4540 - Phone
- (404) 388-3869
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 008090 | GA | Primary |
Addresses
Primary practice location
3330 Preston Ridge Rd Ste 240
Alpharetta, GA 30005-4540
Mailing address
3081 Jefferson St
Atlanta, GA 30341-3225
Phone (404) 388-3869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5580 Roswell Rd
Sandy Springs, GA 30342-1861
Phone (404) 351-5307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Life Clinic of Ga PC | Physical Therapist | Current | Accepting new patients |
| Hcenti, LLC | Past | Accepting new patients | |
| ENT of Georgia, LLC | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
2655 Cobb Pkwy NW
Ste 102
Kennesaw, GA 30152
5600 Roswell Rd
Bldg I
Sandy Springs, GA 30342
Phone (404) 303-2323
Organizations & group practices 4
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Otolaryngology Physician
- Atlanta, GA
- NPI 1922046424
-
- Audiologist-Hearing Aid Fitter
- Alpharetta, GA
- NPI 1356836878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1215434105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 JEFFERSON ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413225",
"telephone_number": "404-388-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PRESTON RIDGE RD STE 240",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054540",
"telephone_number": "404-388-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABULSI",
"first_name": "KATHRYN",
"middle_name": "PENDER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "008090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.