Individual provider Active NPI

Heather K Slonaker, PT, DPT

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1437408028
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011842 Issued in GA
Practice address
1765 Old West Broad St
Athens, GA 30606-2853
Phone
(706) 549-1663
Fax
(706) 546-8792
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 PT011842 GA Primary

Addresses

Primary practice location

1765 Old West Broad St
Athens, GA 30606-2853

Mailing address

1765 Old West Broad St
BLDG 2, Ste 200
Athens, GA 30606-2853
Phone (706) 549-1663

Other practice location 1

3440 Highway 81
Loganville, GA 30052-9112
Phone (770) 554-5009

Other identifiers 1

IdentifierTypeStateIssuer
13544779OtherCAQH NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.slonaker.1@28045.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618003079 GA Practitioner - Physical Therapist in Private Practice 5698086528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Orthopedic Clinic, PAGroup PAC ID 5991600181, 70 clinicians

Practice addresses (Care Compare)

1765 Old W Broad St
Athens, GA 30606-2853
Phone (706) 549-1663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011842GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Orthopedic Clinic, PA CurrentSince May 4, 2015 Accepting new patients
Athens Orthopedic Clinic, PA CurrentSince May 4, 2015 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients

Locations

1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088

1765 Old West Broad St
Bldg 2
Athens, GA 30606
Phone (706) 548-2060

1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881

850 King Ave
Athens, GA 30606
Phone (706) 548-2060

3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009

Interoperability endpoints

  • Direct secure messaging: heather.slonaker.1@28045.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1437408028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST",
            "address_2": "BLDG 2, STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062853",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062853",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 Highway 81",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300529112",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLONAKER",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13544779",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.slonaker.1@28045.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "address_1": "1765 Old West Broad St",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.