Individual provider Active NPI

Zachary Barren

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1407595499
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015912 Issued in GA
Practice address
402 Bombay LN
Roswell, GA 30076-5826
Phone
(678) 878-2503
Fax
(678) 878-2505
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 PT015912 GA Primary

Addresses

Primary practice location

402 Bombay LN
Roswell, GA 30076-5826

Mailing address

500 Lanier Ave W Ste 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721000498 GA Practitioner - Physical Therapist in Private Practice 8628459732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leger Therapy Services Inc.Group PAC ID 6406853415, 16 clinicians

Practice addresses (Care Compare)

402 Bombay LN
Roswell, GA 30076-5826
Phone (678) 878-2503

500 Lanier Ave W
Suite 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

500 W Lanier Ave
Suite 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015912GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leger Therapy Services Inc. CurrentSince Jun 13, 2022 Accepting new patients

Locations

500 Lanier Ave W
Ste 303
Fayetteville, GA 30214
Phone (770) 716-8885

965 Piedmont Rd NE
Ste 200
Marietta, GA 30066
Phone (770) 575-2212

402 Bombay Ln
Roswell, GA 30076
Phone (678) 878-2503

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1407595499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 303",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765826",
            "telephone_number": "678-878-2503",
            "fax_number": "678-878-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARREN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.