Active NPI
Deborah Korzun
- Physical Therapist
- Decatur, GA
National Provider Identifier
1417468638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 6303 Jefferson Square CT
Decatur, GA 30030 - Phone
- (518) 935-7253
- NPI assigned
- Oct 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
6303 Jefferson Square CT
Decatur, GA 30030
Mailing address
6303 Jefferson Square CT
Decatur, GA 30030-1787
Phone (518) 935-7253
Other practice location 1
2386 N Decatur Rd
Decatur, GA 30033-5534
Phone (518) 935-7253
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1417468638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 JEFFERSON SQUARE CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301787",
"telephone_number": "518-935-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 JEFFERSON SQUARE CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "518-935-7253"
}
],
"practiceLocations": [
{
"address_1": "2386 N Decatur Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300335534",
"country_code": "US",
"telephone_number": "518-935-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORZUN",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-15",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.