Individual provider Active NPI

Heather Braswell Hyslep, DPT, LAT, ATC

  • Physical Therapist
  • Weddington, NC
National Provider Identifier
1356889935
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16941 Issued in NC
Practice address
13655 Providence Rd
Weddington, NC 28104-9373
Phone
(704) 246-7050
NPI assigned
Feb 3, 2017
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P16941 NC Primary

Addresses

Primary practice location

13655 Providence Rd
Weddington, NC 28104-9373

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (704) 384-8640

Other practice location 1

3614 S Providence Rd Ste 100
Waxhaw, NC 28173-6310
Phone (704) 384-8640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719000488 NC Practitioner - Physical Therapist in Private Practice 4789954041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P16941NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Grenda Group LLC Physical Therapist CurrentSince Feb 3, 2017 Accepting new patients
Weddington Chiropractic Wellness Center PastSince Feb 3, 2017 Accepting new patients

Locations

13655 Providence Rd
Weddington, NC 28104
Phone (704) 246-7050

Organizations & group practices 2

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1356889935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "704-384-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 PROVIDENCE RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-246-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 S Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736310",
            "country_code": "US",
            "telephone_number": "704-384-8640",
            "fax_number": "704-384-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYSLEP",
        "first_name": "HEATHER",
        "middle_name": "BRASWELL",
        "credential": "DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weddington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.