Active NPI
Heather Jane Yandziak, DPT
- Physical Therapist
- Morehead City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18521
- Practice address
- 534 N 35TH St Ste D
Morehead City, NC 28557-3184 - Phone
- (252) 726-1802
- Fax
- (252) 726-1805
- NPI assigned
- Jul 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA | ||
| Physical Therapist | 225100000X | P18521 | NC | Primary |
Addresses
Primary practice location
534 N 35TH St Ste D
Morehead City, NC 28557-3184
Mailing address
534 N 35TH St Ste D
Morehead City, NC 28557-3184
Phone (252) 726-1802
Other practice location 1
3280 Howell Mill Rd NW
Suite 139
Atlanta, GA 30327-4111
Phone (404) 355-2913
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
- Emory University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 10TH St NW
Atlanta, GA 30318-5713
Phone (404) 477-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18521 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJT & Associates | Physical Therapist | Current | Accepting new patients |
| BJT and Associates | Physical Therapist | Current | Accepting new patients |
| The Sports Rehabilitation Center | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888
2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777
2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777
Interoperability endpoints
- heather.yandziak.1@9526.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1154409381
-
- Physical Therapist
- Atlanta, GA
- NPI 1427089101
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1669737151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 N 35TH ST STE D",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573184",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 N 35TH ST STE D",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573184",
"telephone_number": "252-726-1802",
"fax_number": "252-726-1805"
}
],
"practiceLocations": [
{
"address_1": "3280 Howell Mill Rd NW",
"address_2": "Suite 139",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303274111",
"country_code": "US",
"telephone_number": "404-355-2913",
"fax_number": "404-351-1684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YANDZIAK",
"first_name": "HEATHER",
"middle_name": "JANE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.