Active NPI
Giwon Lee, P.T.
- Physical Therapist
- Dacula, GA
National Provider Identifier
1104212166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015154
- Practice address
- 2103 Braselton Hwy Suite 190B
Dacula, GA 30019 - Phone
- (470) 238-3407
- NPI assigned
- Apr 7, 2015
- Sex
- Male
- 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 | PT015154 | GA | Primary |
Addresses
Primary practice location
2103 Braselton Hwy Suite 190B
Dacula, GA 30019
Mailing address
96 Candlewood LN
Hoschton, GA 30548-5554
Phone (503) 901-9772
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3473 Satellite Blvd
Suite 108N
Duluth, GA 30096-8690
Phone (470) 550-1271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G1L Physical Therapy P.C. | Current | Accepting new patients | |
| Kwon Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| G1 Physical Therapy | Current | Accepting new patients | |
| Fit in Motion TN LLC | Physical Therapist | Past | Accepting new patients |
| Cornerstone Occupational Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
3473 Satellite Blvd
Ste 108N
Duluth, GA 30096
Phone (470) 550-1271
3420 Paddocks Pkwy
Suwanee, GA 30024
Phone (470) 295-6262
Organizations & group practices 5
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.
-
- Physical Therapist
- Duluth, GA
- NPI 1154932200
-
- Physical Therapy Clinic/Center
- Dacula, GA
- NPI 1417827205
-
- Physical Therapy Clinic/Center
- Glen Cove, NY
- NPI 1164088712
-
- Occupational Therapist
- Fresh Meadows, NY
- NPI 1770373276
Physical Therapist
-
- Physical Therapist
- Nashville, TN
- NPI 1821804154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1104212166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CANDLEWOOD LN",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305485554",
"telephone_number": "503-901-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 BRASELTON HWY SUITE 190B",
"city": "DACULA",
"state": "GA",
"postal_code": "30019",
"telephone_number": "470-238-3407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GIWON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015154",
"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 Nov 7, 2025; 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.