Individual provider Active NPI

Nathaniel Zakrzewski, PT, DPT

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1427827500
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTO16950 Issued in GA
Practice address
2300 Liam Ave Ste 104
Dacula, GA 30019-2265
Phone
(470) 294-0052
NPI assigned
Dec 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 PTO16950 GA Primary

Addresses

Primary practice location

2300 Liam Ave Ste 104
Dacula, GA 30019-2265

Mailing address

331 Woodland St
Dallas, GA 30157-9552
Phone (770) 895-5119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000238 GA Practitioner - Physical Therapist in Private Practice 4183077423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in the Game Physical Therapy, IncGroup PAC ID 9133380082, 17 clinicians

Practice addresses (Care Compare)

2300 Liam Ave
Dacula, GA 30019-2263
Phone (770) 967-4377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTO16950GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 18, 2026 Accepting new patients
Back in the Game Physical Therapy, Inc CurrentSince Jan 2, 2024 Accepting new patients
Northeast Georgia Rehabilitation Center,Inc Past Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

2300 Liam Ave
Ste 104
Dacula, GA 30019
Phone (470) 294-0052

2300 Liam Ave
Dacula, GA 30019
Phone (470) 294-0052

4754 Martin Rd
#200
Flowery Branch, GA 30542
Phone (770) 967-4377

2480 Limestone Pkwy
Ste 107
Gainesville, GA 30501
Phone (770) 967-4377

2800 Horizon Ridge Ct
Ste 250
Suwanee, GA 30024
Phone (678) 505-1995

415 Horizon Dr
Ste 250
Suwanee, GA 30024
Phone (678) 505-1995

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.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1427827500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WOODLAND ST",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579552",
            "telephone_number": "770-895-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LIAM AVE STE 104",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192265",
            "telephone_number": "470-294-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKRZEWSKI",
        "first_name": "NATHANIEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PTO16950",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2023; 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.