Active NPI
Heather K Slonaker, PT, DPT
- Physical Therapist
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011842
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13544779 | Other | CAQH NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT011842 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Orthopedic Clinic, PA | Current | Accepting new patients | |
| Athens Orthopedic Clinic, PA | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Athens, GA
- NPI 1063495299
-
- Orthopaedic Surgery Physician
- Greensboro, GA
- NPI 1104219468
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
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.