EUNSOL LEE (PT, DPT) – Physical Therapist, NPI 1134768328

EUNSOL LEE (PT, DPT) is a healthcare provider. based in Alexandria, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2305213098 (VA). The NPI Number for EUNSOL LEE (PT, DPT) is 1134768328

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EUNSOL LEE (PT, DPT)
NPI
1134768328
Phone
(703) 845-5045
Address
5100 FILLMORE AVE
Enumeration Date
5 January 2020
Last Update Date
5 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7038448599
Graduation Year
2019 (7 years ago)
PAC ID
2961854385
Group Practice PAC ID
4486630985
Professional Enrollment ID
I20240122000360
Address ID
VA220312233FA3020XCTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for EUNSOL LEE (PT, DPT)

  • 5100 FILLMORE AVE

    ALEXANDRIA, VA 223115069

    Phone: (703) 845-5045

    Mailing address matches the actual address.

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: 2024-01-22

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
I20240122000360IPhysical Therapist In Private PracticeDCTBD

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 22311)

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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: 4486630985View full group profile
NameSpecialtyState
Qualified Speech Language PathologistDC
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
-VA
Occupational Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeVA
-VA

Reviews

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Frequently asked questions

Is there an official ID for EUNSOL LEE (PT, DPT) in U.S. healthcare records?
The official identifier for EUNSOL LEE (PT, DPT) is NPI 1134768328.
Is EUNSOL LEE (PT, DPT) still an active registrant?
EUNSOL LEE (PT, DPT) carries an active NPI according to the public dataset.
What clinical focus is listed for EUNSOL LEE (PT, DPT)?
At a glance, EUNSOL LEE (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is EUNSOL LEE (PT, DPT) located near Alexandria?
EUNSOL LEE (PT, DPT) currently maps to Alexandria, Virginia in this extract.
When was this NPI issued?
Enumeration for EUNSOL LEE (PT, DPT) is noted as January 5, 2020 where the registry provides it.

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