JENNIFER FAITH LEE (PT) – Physical Therapist, NPI 1619776994

JENNIFER FAITH LEE (PT) is a healthcare provider. based in Sugar hill, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT017529 (GA). The NPI Number for JENNIFER FAITH LEE (PT) is 1619776994

Main info

Female
Sole Proprietor
28 Years Of Experience
Name
JENNIFER FAITH LEE (PT)
NPI
1619776994
Phone
(401) 258-7653
Address
5010 W BROAD ST APT 2206
Enumeration Date
10 March 2025
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708541632
Graduation Year
1998 (28 years ago)
PAC ID
0941725881
Group Practice PAC ID
3173982287
Professional Enrollment ID
I20250423001572
Address ID
GA303097674AT1170XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JENNIFER FAITH LEE (PT)

  • 5010 W BROAD ST APT 2206

    SUGAR HILL, GA 305184212

    Phone: (401) 258-7653

    Type: Mailing

  • 5135 W BROAD ST

    SUGAR HILL, GA 305185228

    Phone: (470) 589-2520

    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: 2025-04-23

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
I20250423001572IPhysical 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.

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

Insurance plans in this area (ZIP 30518)

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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: 3173982287View full group profile
NameSpecialtyState
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeGA
Qualified Speech Language PathologistGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMS
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What NPI should I save for JENNIFER FAITH LEE (PT)?
Save NPI 1619776994 if you need a stable reference for JENNIFER FAITH LEE (PT).
Is JENNIFER FAITH LEE (PT)'s NPI currently valid?
The extract we use shows JENNIFER FAITH LEE (PT) as active.
What field does JENNIFER FAITH LEE (PT) work in?
You can think of JENNIFER FAITH LEE (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER FAITH LEE (PT)?
We surface Sugar Hill, Georgia for JENNIFER FAITH LEE (PT) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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