Active NPI
Dustin Lee, PT, DPT
- Orthopedic Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT012581
- Practice address
- 280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450 - Phone
- (678) 608-1700
- Fax
- (678) 608-1699
- NPI assigned
- Sep 1, 2016
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT012581 | GA | Primary |
Addresses
Primary practice location
280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450
Mailing address
280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450
Phone (678) 608-1700
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
- Emory University School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
3261 Roswell Rd NE
Atlanta, GA 30305-1840
Phone (404) 618-2159
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012581 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Luna Care Physical Therapy LLC | Current | Accepting new patients | |
| Motion Stability, LLC | Current | Accepting new patients | |
| Reach Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Westside Physical Therapy, LLC | Orthopedic | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Past | Accepting new patients |
Locations
3261 Roswell Rd NE
Atlanta, GA 30305
Phone (404) 618-2159
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
550 Pharr Rd NE
Ste 550
Atlanta, GA 30305
Phone (404) 382-8702
280 Interstate North Cir SE
Ste 105
Atlanta, GA 30339
Phone (678) 608-1700
Organizations & group practices 6
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
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1174760896
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Orthopedic Physical Therapist
- Atlanta, GA
- NPI 1669862769
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1528515111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 INTERSTATE NORTH CIR SE STE 105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392450",
"telephone_number": "678-608-1700",
"fax_number": "678-608-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 INTERSTATE NORTH CIR SE STE 105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392450",
"telephone_number": "678-608-1700",
"fax_number": "678-608-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DUSTIN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT012581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.