Organization Active NPI

G1 Physical Therapy

  • Physical Therapy Clinic/Center
  • Dacula, GA
National Provider Identifier
1417827205
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
G1 PHYSICAL THERAPY
Practice address
2103 Braselton Hwy Suite 190B
Dacula, GA 30019
Phone
(470) 238-3407
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Giwon LeeNPI 1104212166
Title
Doctor of Physical Therapy
Phone
(503) 901-9772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1417827205",
    "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": {
        "organization_name": "G1 PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GIWON",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "503-901-9772"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.