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

Kyongjin Lee, DPT

Individual provider Physical Therapist · NPI 1205640315

Kyongjin Lee, DPT is a Physical Therapist in Private Practice in Buford, Georgia. Qualified in 2023, 3 years ago. Practices with Georgia Luna Care Physical Therapy LLC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2815 Buford Dr Ste 102
Buford, GA 30519-8151
Phone: (770) 271-4413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3055 N Point Pkwy, Alpharetta, GA 30005-4121 — (470) 275-9519

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016992 (GA)

Record details

NPI number1205640315
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Georgia Luna Care Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Buford