Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Clarice M Ezeanya, DPT

Individual provider Physical Therapist · NPI 1013253780

Mrs. Clarice M Ezeanya, DPT is a Physical Therapist in Private Practice in Suwanee, Georgia. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Georgia and New Jersey.

Years since qualifying
14
Licensed in
GA, NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

302 Satellite Blvd NE Ste 111
Suwanee, GA 30024-7182
Phone: (862) 202-6596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT011257 (GA)
Physical Therapist Taxonomy 225100000X · Licence 40QA01471200 (NJ)

Record details

NPI number1013253780
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 27, 2012
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suwanee