Individual provider Active NPI

Dustin Lee, PT, DPT

  • Orthopedic Physical Therapist
  • Atlanta, GA
National Provider Identifier
1528515111
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT012581 Issued in GA
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

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20170711000625 GA Practitioner - Physical Therapist in Private Practice 7012286883 Reassigns benefits to 4 organizations

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
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

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

LicenseStateTypeSpecialty
PT012581GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Luna Care Physical Therapy LLC CurrentSince Jul 22, 2025 Accepting new patients
Motion Stability, LLC CurrentSince Jun 8, 2018 Accepting new patients
Reach Physical Therapy LLC Orthopedic CurrentSince Mar 4, 2022 Accepting new patients
Westside Physical Therapy, LLC Orthopedic CurrentSince Jun 8, 2018 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.

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.

Verify at the official NPI Registry.