Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Giwon Lee, PT

Individual provider Physical Therapist · NPI 1104212166

Giwon Lee, PT is a Physical Therapist in Private Practice in Dacula, Georgia. Qualified in 2014, 12 years ago. Practices with Kwon Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2103 Braselton Hwy Ste 190B
Dacula, GA 30019
Phone: (470) 238-3407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT015154 (GA)

Record details

NPI number1104212166
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 7, 2015
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address96 Candlewood Ln, Hoschton, GA 30548-5554

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kwon Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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