JIHWAN LEE (DPT) – Orthopedic Physical Therapist, NPI 1578010815

JIHWAN LEE (DPT) is a healthcare provider. based in Duluth, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1399272 (TX). The NPI Number for JIHWAN LEE (DPT) is 1578010815

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JIHWAN LEE (DPT)
NPI
1578010815
Phone
(646) 500-0538
Address
2057 MEADOW PEAK RD
Enumeration Date
3 September 2016
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5126769677
Graduation Year
2016 (10 years ago)
PAC ID
6608147350
Group Practice PAC ID
8224515820
Professional Enrollment ID
I20260225001393
Address ID
TX786813601RO16333DRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JIHWAN LEE (DPT)

  • 2057 MEADOW PEAK RD

    DULUTH, GA 300974374

    Phone: (646) 500-0538

    Type: Mailing

  • 3473 OLD NORCROSS RD STE 306

    DULUTH, GA 300964664

    Phone: (646) 500-0538

    Type: Location

  • 2832 NOLINA LN

    ROUND ROCK, TX 786812457

    Phone: (646) 500-0538

    Type: Mailing

  • 16333 S GREAT OAKS DR STE 122

    ROUND ROCK, TX 786813601

    Phone: (646) 500-0538

    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: 2026-02-25

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
I20260225001393IPhysical Therapist In Private PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30097)

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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: 8224515820View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I use this page to confirm JIHWAN LEE (DPT)'s NPI?
Yes. JIHWAN LEE (DPT) is listed with NPI 1578010815 in the public NPI dataset.
Is JIHWAN LEE (DPT) listed as active for patients and plans?
The listing shows JIHWAN LEE (DPT) as active in the NPI system.
What is JIHWAN LEE (DPT) best known for clinically?
Directory data describes JIHWAN LEE (DPT) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect JIHWAN LEE (DPT) on a map?
Expect Duluth, Georgia as a primary anchor for JIHWAN LEE (DPT) unless the record lists multiple sites.
Is the information about JIHWAN LEE (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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