Active NPI
Heather Braswell Hyslep, DPT, LAT, ATC
- Physical Therapist
- Weddington, NC
National Provider Identifier
1356889935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P16941
- Practice address
- 13655 Providence Rd
Weddington, NC 28104-9373 - Phone
- (704) 246-7050
- NPI assigned
- Feb 3, 2017
- Last updated
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16941 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Grenda Group LLC | Physical Therapist | Current | Accepting new patients |
| Weddington Chiropractic Wellness Center | Past | 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.
-
dba Weddington Physical Therapy and Wellness
- Physical Therapist
- Weddington, NC
- NPI 1912343765
-
- Nutrition Chiropractor
- Weddington, NC
- NPI 1245256841
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.