Individual provider Active NPI

Noreen Victoria Zulaica, P.T.

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1346232949
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006193 Issued in GA
Practice address
2089 Teron Trce
Suite 120
Dacula, GA 30019-1662
Phone
(770) 904-6009
Fax
(770) 904-2357
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006193 GA Primary

Addresses

Primary practice location

2089 Teron Trce
Suite 120
Dacula, GA 30019-1662

Mailing address

2089 Teron Trce
Suite 120
Dacula, GA 30019-1662
Phone (770) 904-6009

Other identifiers 1

IdentifierTypeStateIssuer
000856171BMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828004019 GA Practitioner - Physical Therapist in Private Practice 0840540647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tender Ones Therapy Services, IncGroup PAC ID 1153671953, 4 clinicians

Practice addresses (Care Compare)

1854 Auburn Rd
Suite 101
Dacula, GA 30019-1130
Phone (770) 904-6009

2089 Teron Trce
Suite 120
Dacula, GA 30019-1603

2089 Teron Trce
Suite 120
Dacula, GA 30019-1609
Phone (770) 904-6009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1346232949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE",
            "address_2": "SUITE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191662",
            "telephone_number": "770-904-6009",
            "fax_number": "770-904-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 TERON TRCE",
            "address_2": "SUITE 120",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191662",
            "telephone_number": "770-904-6009",
            "fax_number": "770-904-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULAICA",
        "first_name": "NOREEN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000856171B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.