Jennifer Brackett Lewis, P.T., A.T.,C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005634 Issued in GA

Practice address

12 Dawson Market Way Ste 320
Dawsonville, GA 30534-7296

Phone

(470) 759-2415

Fax

(706) 441-3321

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.7 of 100Reported as group

Quality

90

Improvement activities

40

Cost

73.99

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MCM Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1538226840

  GA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• MCM Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Hixson, TN
  • NPI 1922681360
  NPD
• Pinnacle Orthopaedics & Sports Medicine Specialists LLC

  • Specialist
  • Marietta, GA
  • NPI 1003367707

  Physical Therapist

  NPD (past)
• Pinnacle Orthopaedics & Sports Medicine Specialists LLC

  • Specialist
  • Marietta, GA
  • NPI 1194815175
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1700815446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DAWSON MARKET WAY STE 320",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347296",
            "telephone_number": "470-759-2415",
            "fax_number": "706-441-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tower Rd NE",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609404",
            "country_code": "US",
            "telephone_number": "770-499-9918",
            "fax_number": "770-792-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JENNIFER",
        "middle_name": "BRACKETT",
        "credential": "P.T., A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARIETTA LOCATION",
            "identifier": "52183607002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AUSTELL LOCATION",
            "identifier": "52183607001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WOODSTOCK LOCATION",
            "identifier": "52183607003",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DOUGLASVILLE LOCATIO",
            "identifier": "52183607004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Leonard, CD
• Mary Therese Leppert, PTA
• Maria Alejandra Lerma, P.A.
• Jesse Lewallen
• Andrea Nicole Lewis, PHARMD
• Thomas Bruce Lewis, PTA
• Hannah Gibson Liermann
• Michelle Lima, ATC
• Richard Roberts Limehouse Jr., P.T.
• Kayla Lively

• Physical Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.