Individual provider Active NPI

Angela Morozova, PT, MPT, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1235236399
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008827 Issued in GA
Practice address
5000 Research CT Ste 450
Suwanee, GA 30024-6660
Phone
(770) 205-5551
Fax
(470) 359-2982
NPI assigned
Sep 20, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008827 GA Primary
Pediatric Physical Therapist 2251P0200X PT008827 GA

Addresses

Primary practice location

5000 Research CT Ste 450
Suwanee, GA 30024-6660

Mailing address

5000 Research CT Ste 450
Suwanee, GA 30024-6660
Phone (770) 205-5551

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT008827GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidztherapy Networks Inc Pediatrics PastSince Apr 16, 2023 Accepting new patients
Kids Creek Therapy Physical Therapist Past Accepting new patients
Atlanta International PT, Inc Physical Therapist PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1235236399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "770-205-5551",
            "fax_number": "470-359-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "770-205-5551",
            "fax_number": "470-359-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZOVA",
        "first_name": "ANGELA",
        "credential": "PT, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008827",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT008827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.