Individual provider Active NPI

Heather Zacka, MOT, OTR/L

  • Occupational Therapist
  • Roswell, GA
National Provider Identifier
1275393571
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009091 Issued in GA
Practice address
11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866
Phone
(770) 740-8592
NPI assigned
Mar 21, 2024
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009091 GA Primary
Pediatric Occupational Therapist 225XP0200X

Addresses

Primary practice location

11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 239-7217

Other practice location 1

5825 Glenridge Dr Ste 1-133
Atlanta, GA 30328-7144
Phone (678) 733-9318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250124000283 GA Practitioner - Occupational Therapist in Private Practice 9537698287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11490 Alpharetta Hwy
Suite 200
Roswell, GA 30076-3866
Phone (770) 740-8592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jan 3, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jan 3, 2025 Accepting new patients
Benchmark Physical Therapy Inc Occupational Therapist CurrentSince Jan 3, 2025 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jan 3, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jan 3, 2025 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Jan 3, 2025 Accepting new patients
A to Z Pediatric Therapy, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1275393571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-239-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 ALPHARETTA HWY STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763866",
            "telephone_number": "770-740-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 Glenridge Dr Ste 1-133",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303287144",
            "country_code": "US",
            "telephone_number": "678-733-9318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACKA",
        "first_name": "HEATHER",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009091",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.