JENNIFER BRACKETT LEWIS (P.T., A.T.,C.) – Physical Therapist, NPI 1700815446
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for JENNIFER BRACKETT LEWIS (P.T., A.T.,C.)
300 Tower Rd NE
suite 100
Marietta, GA 300609404
Phone: (770) 499-9918
Fax: (770) 792-8276
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
12 DAWSON MARKET WAY STE 320
DAWSONVILLE, GA 305347296
Phone: (470) 759-2415
Fax: (706) 441-3321
Type: Location
1153, Dunedin Trail, Rocky Springs, Woodstock, Cherokee County, Georgia, 30188, United States
WOODSTOCK, GA 301883652
Phone: (678) 494-1416
Fax: (770) 792-8276
Type: Mailing
Tower Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30061, United States
SUITE 100
MARIETTA, GA 300609404
Phone: (770) 499-9918
Fax: (770) 792-8276
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: 2005-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050719000565 | I | Physical Therapist In Private Practice | GA | TBD |
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.
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 30060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL |
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