Active NPI
Candice Dela Cruz, PT
- Physical Therapist
- Sharpsburg, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010226
- Practice address
- 103 Saint James PL
Sharpsburg, GA 30277-2303 - Phone
- (678) 877-2454
- NPI assigned
- Jan 7, 2020
- Last updated
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT010226 | GA | Primary |
Addresses
Primary practice location
103 Saint James PL
Sharpsburg, GA 30277-2303
Mailing address
103 Saint James PL
Sharpsburg, GA 30277-2303
Phone (678) 877-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2340 Clifton Springs Rd
Decatur, GA 30034-2910
Phone (404) 846-0899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Atlanta Primary Care House Calls for Senior Communities | Past | Accepting new patients | |
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
562 Research Dr
Athens, GA 30605
915 Hawthorne Ave
Athens, GA 30606
2153A Briarcliff Rd NE
Atlanta, GA 30329
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
Phone (770) 443-4483
2260 Marietta Blvd NW
Apt 104
Atlanta, GA 30318
355 S River St
Calhoun, GA 30701
4255 Will Lee Rd
College Park, GA 30349
201 Aquatic Cir
Cumming, GA 30040
2340 Clifton Springs Rd
Decatur, GA 30034
9375 The Landing Dr
Ste G190
Douglasville, GA 30135
803 Forest Pkwy
Forest Park, GA 30297
Phone (786) 512-9822
11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800
9045 Tara Blvd
Jonesboro, GA 30236
Phone (912) 490-7777
2655 Cobb Pkwy NW
Kennesaw, GA 30152
1823 N Brown Rd
Lawrenceville, GA 30043
4220 Lower Roswell Rd
Marietta, GA 30068
Phone (678) 946-4454
2280 Highway 29 N
Newnan, GA 30265
Phone (770) 683-6833
5600 Roswell Rd
Bldg I
Sandy Springs, GA 30342
Phone (678) 832-2258
884 Church St SE
Smyrna, GA 30080
1063 Rockbridge Rd
Stone Mountain, GA 30087
50 Brad Akins Dr
Winder, GA 30680
14200 Highway 92
Woodstock, GA 30188
Phone (677) 819-7658
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1851836100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1902446057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SAINT JAMES PL",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302772303",
"telephone_number": "678-877-2454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SAINT JAMES PL",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302772303",
"telephone_number": "678-877-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "CANDICE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sharpsburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.