Individual provider Active NPI

Heather Jane Yandziak, DPT

  • Physical Therapist
  • Morehead City, NC
National Provider Identifier
1669737151
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18521 Issued in NC
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

Updated by the provider on Nov 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210519000201 GA Practitioner - Physical Therapist in Private Practice 6507166329 Reassigns benefits to 2 organizations

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
The Sports Rehabilitation CenterGroup PAC ID 0648177485, 7 clinicians

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

LicenseStateTypeSpecialty
P18521NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BJT & Associates Physical Therapist CurrentSince Feb 4, 2025 Accepting new patients
BJT and Associates Physical Therapist CurrentSince Feb 4, 2025 Accepting new patients
The Sports Rehabilitation Center CurrentSince Feb 5, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.