Active NPI
Blanche Lee, PT, DPT
- Physical Therapist
- Decatur, GA
National Provider Identifier
1982250296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014190
- Practice address
- 2801 N Decatur Rd Ste 230
Decatur, GA 30033-7430 - Phone
- (404) 294-7211
- Fax
- (404) 294-7595
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014190 | GA | Primary |
Addresses
Primary practice location
2801 N Decatur Rd Ste 230
Decatur, GA 30033-7430
Mailing address
2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191112000423 | GA | Practitioner - Physical Therapist in Private Practice | 1052743176 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esop Rehabilitation LLC
Practice addresses (Care Compare)
875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014190 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Locations
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
Organizations & group practices 9
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 Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
GA, Physical Therapist
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1962824003
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1548699127
-
- Physical Therapy Clinic/Center
- Norcross, GA
- NPI 1629490743
-
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
-
- Physical Therapy Clinic/Center
- Griffin, GA
- NPI 1194147215
-
- Physical Therapy Clinic/Center
- Tucker, GA
- NPI 1730501982
-
- Physical Therapy Clinic/Center
- Morrow, GA
- NPI 1780006825
-
- Physical Therapy Clinic/Center
- Cumming, GA
- NPI 1962824177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1982250296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 WISTERIA DR STE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782689",
"telephone_number": "770-982-0102",
"fax_number": "770-982-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N DECATUR RD STE 230",
"city": "DECATUR",
"state": "GA",
"postal_code": "300337430",
"telephone_number": "404-294-7211",
"fax_number": "404-294-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BLANCHE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.