Individual provider Active NPI

Madison Hetzler, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1770268153
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017704 Issued in GA
Practice address
758 Old Norcross Rd
Lawrenceville, GA 30046-3385
Phone
(404) 847-9999
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X
Pediatric Physical Therapist 2251P0200X
Physical Therapist 225100000X PT017704 GA Primary
Cardiopulmonary Physical Therapist 2251C2600X
Physical Therapist 225100000X 11491 LA
Human Factors Physical Therapist 2251H1300X

Addresses

Primary practice location

758 Old Norcross Rd
Lawrenceville, GA 30046-3385

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

204 Boots Dr
Farmerville, LA 71241-3102
Phone (183) 620-0075

Other practice location 2

2515 Fence Rd Ste 160
Dacula, GA 30019-2138
Phone (770) 237-2852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240220002767 LA Practitioner - Physical Therapist in Private Practice 0941644702 Reassigns benefits to 1 organization
I20250722002465 GA Practitioner - Physical Therapist in Private Practice 0941644702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2515 Fence Rd
Suite 160
Dacula, GA 30019-2138
Phone (770) 237-2852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017704GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Island Physical Therapy, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 16, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2515 Fence Rd
Ste 160
Dacula, GA 30019
Phone (770) 237-2852

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

927 N Trenton St
Ruston, LA 71270
Phone (318) 255-1155

927 N Trenton St
#B
Ruston, LA 71270
Phone (318) 513-3008

Organizations & group practices 7

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1770268153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463385",
            "telephone_number": "404-847-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Boots Dr",
            "address_purpose": "LOCATION",
            "city": "Farmerville",
            "state": "LA",
            "postal_code": "712413102",
            "country_code": "US",
            "telephone_number": "183-620-0075",
            "fax_number": "318-620-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Fence Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300192138",
            "country_code": "US",
            "telephone_number": "770-237-2852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017704",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11491",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.