Individual provider Active NPI

Candice Dela Cruz, PT

  • Physical Therapist
  • Sharpsburg, GA
National Provider Identifier
1902446057
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010226 Issued in GA
Practice address
103 Saint James PL
Sharpsburg, GA 30277-2303
Phone
(678) 877-2454
NPI assigned
Jan 7, 2020
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220912000273 GA Practitioner - Physical Therapist in Private Practice 6204211378 Reassigns benefits to 2 organizations

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
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

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

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince Dec 20, 2022 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince May 30, 2022 Accepting new patients
Atlanta Primary Care House Calls for Senior Communities Past Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Feb 7, 2022 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.

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.

Verify at the official NPI Registry.