Individual provider Active NPI

Jessica N Lewis, PT, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1427776871
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016139 Issued in GA
Practice address
1180 Satellite Blvd NW Ste 100
Suwanee, GA 30024-4637
Phone
(404) 367-2080
Fax
(770) 495-3493
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 PT016139 GA Primary

Addresses

Primary practice location

1180 Satellite Blvd NW Ste 100
Suwanee, GA 30024-4637

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (404) 367-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220906002353 GA Practitioner - Physical Therapist in Private Practice 5991189284 Reassigns benefits to 2 organizations
I20240325001679 KY Practitioner - Physical Therapist in Private Practice 5991189284 Reassigns benefits to 1 organization
I20251027004609 PA Practitioner - Physical Therapist in Private Practice 5991189284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians

Practice addresses (Care Compare)

1665 Roosevelt Ave
York, PA 17408-8549
Phone 71784848006867

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009003KYMDPharmacist
PT016139GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC CurrentSince Aug 7, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Aug 12, 2023 Accepting new patients
Advanced Orthopaedic Physical Therapy, PSC CurrentSince Feb 12, 2024 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Aug 7, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Aug 12, 2023 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients
Oss Orthopaedic Hospital, LLC Past Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

9400 Williamsburg Plz
Ste 100
Louisville, KY 40222
Phone (502) 412-4486

1926 Good Hope Rd
Enola, PA 17025

470 Eisenhower Dr
Hanover, PA 17331
Phone (717) 633-0031

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1855 Powder Mill Rd
Ste 210
York, PA 17402
Phone (717) 747-8306

1665 Roosevelt Ave
York, PA 17408
Phone (717) 747-8350

1855 Powder Mill Rd
York, PA 17402

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1427776871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "404-367-2080",
            "fax_number": "770-495-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SATELLITE BLVD NW STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244637",
            "telephone_number": "404-367-2080",
            "fax_number": "770-495-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.