TRACY AIFUWA (PT, DPT) – Physical Therapist, NPI 1023664075

TRACY AIFUWA (PT, DPT) is a healthcare provider. based in Dacula, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT014240 (GA). The NPI Number for TRACY AIFUWA (PT, DPT) is 1023664075

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TRACY AIFUWA (PT, DPT)
NPI
1023664075
Phone
Not provided
Address
2532 KELMAN PL
Enumeration Date
15 August 2019
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2019 (7 years ago)
PAC ID
0042600207
Group Practice PAC ID
4082027727
Professional Enrollment ID
I20211201002194
Address ID
GA303031292AT260XXNWXX401

Contacts

Secure Messaging
taifuwa@selectmedical.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for TRACY AIFUWA (PT, DPT)

  • 2532 KELMAN PL

    DACULA, GA 300197099

    Phone:

    Type: Mailing

  • 3605 BRASELTON HWY STE 101

    DACULA, GA 300194666

    Phone: (770) 904-0772

    Type: Location

  • 3605 Braselton Hwy Ste 101

    Dacula, GA 300194666

    Phone: (770) 904-0772

    Type: Location

  • 2400 WISTERIA DR STE A

    SNELLVILLE, GA 300782689

    Phone: (770) 982-0102

    Fax: (770) 982-0139

    Type: Mailing

  • 4743 ATLANTA HWY STE 100

    LOGANVILLE, GA 300522686

    Phone: (770) 466-9343

    Fax: (770) 466-9345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211201002194IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes60638$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes48838$0
97140Therapy procedure using manual technique, each 15 minutes30945$0
97530Therapy procedure using functional activities24427$0
97161Evaluation for physical therapy, typically 20 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 30019)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082027727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What identifier follows TRACY AIFUWA (PT, DPT) across health systems?
The NPI 1023664075 uniquely identifies TRACY AIFUWA (PT, DPT) in U.S. healthcare data.
Should I treat TRACY AIFUWA (PT, DPT) as an active provider?
Patients and plans typically see TRACY AIFUWA (PT, DPT) as active in the national extract.
How should patients interpret TRACY AIFUWA (PT, DPT)'s specialty?
The extract shows Physical Therapist for TRACY AIFUWA (PT, DPT). Clinical services aligned with this taxonomy classification.
Is TRACY AIFUWA (PT, DPT) tied to Dacula, Georgia?
If you are local to Dacula, Georgia, TRACY AIFUWA (PT, DPT) may be relevant to your search.
Why is information missing for TRACY AIFUWA (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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