Active NPI
Andrea Hetzler, DPT
- Physical Therapist
- Swansea, MA
National Provider Identifier
1407281777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL20719
- Practice address
- 11 Brook Rd
Swansea, MA 02777-3630 - Phone
- (508) 812-0426
- NPI assigned
- Sep 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT02634 | RI | |
| Physical Therapist | 225100000X | PTL20719 | MA | Primary |
Addresses
Primary practice location
11 Brook Rd
Swansea, MA 02777-3630
Mailing address
11 Brook Rd
Swansea, MA 02777-3630
Phone (508) 812-0426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Massachusetts Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Brook Rd
Swansea, MA 02777-3630
Phone (508) 812-0426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow Brick Physical Therapy, LLC | Current | Accepting new patients | |
| Yellow Brick Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Geriatric Physical Therapist
- Swansea, MA
- NPI 1114735735
-
- Home Health Agency
- Swansea, MA
- NPI 1699595462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1407281777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BROOK RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773630",
"telephone_number": "508-812-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BROOK RD",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027773630",
"telephone_number": "508-812-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZLER",
"first_name": "ANDREA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02634",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL20719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.