Individual provider Active NPI

Mandy Cay Hesseltine, PHYSICAL THERAPIST

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1780718627
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP030101T Issued in NC
Practice address
16139 Lancaster Hwy Ste 140
Charlotte, NC 28277-2976
Phone
(704) 542-2492
NPI assigned
Mar 15, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP031303T TN
Physical Therapist 225100000X CP030292T MS
Physical Therapist 225100000X CP043874T AL
Physical Therapist 225100000X CP026791T GA
Physical Therapist 225100000X 1173443 TX
Physical Therapist 225100000X CP031303T VA
Physical Therapist 225100000X CP030102T SC
Physical Therapist 225100000X CP030101T NC Primary

Addresses

Primary practice location

16139 Lancaster Hwy Ste 140
Charlotte, NC 28277-2976

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

5026 Deepwood Cir
Corpus Christi, TX 78415-2901
Phone (361) 854-2278 ext. 133

Other practice location 2

5729 Lebanon Rd Ste 120
Frisco, TX 75034-7259
Phone (469) 731-4888

Other practice location 3

7777 Warren Pkwy Ste 380
Frisco, TX 75034-6549
Phone (972) 377-4111

Other practice location 4

863 W Oglethorpe Hwy Ste 210
Hinesville, GA 31313-4491
Phone (912) 368-0534

Other identifiers 2

IdentifierTypeStateIssuer
8T8157OtherTXBCBS
196787901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, GA, AR, MO, SC, MS, NC, VA, AL10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20080904000037 TX Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 3 organizations
I20240103001642 TN Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 2 organizations
I20240129000561 GA Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 3 organizations
I20240806003718 AR Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 1 organization
I20240812003963 MO Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 1 organization
I20240814002364 SC Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 3 organizations
I20240819001490 MS Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 4 organizations
I20240918003997 NC Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 1 organization
I20241118000745 VA Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 3 organizations
I20250501001556 AL Practitioner - Physical Therapist in Private Practice 1052484979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1261 N Steamboat Dr
Suite 2
Fayetteville, AR 72704-6262
Phone (479) 313-6591

1672 N Main St
Suite 11
Summerville, SC 29486-7811
Phone (843) 289-1456

211 N 2ND St
Serc Odessa
Odessa, MO 64076-1135
Phone (816) 633-4063

22083 US Hwy 72
Athens, AL 35613-2666
Phone (258) 216-1040

3451 Goodman Rd E
Suite 108
Southaven, MS 38672-9305
Phone (662) 890-6953

3760 Ocoee Place NW
Suite 101
Cleveland, TN 37312-5636
Phone (423) 336-3795

863 W Oglethorpe Hwy
Suite 210
Hinesville, GA 31313-4491
Phone (912) 368-0534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15526TNMDInternal Medicine Physician
CP043874TALMDPhysical Therapist
CP026791TGAMDPhysical Therapist
CP030292TMSMDPhysical Therapist
CP030101TNCMDPhysical Therapist
CP030102TSCMDPhysical Therapist
CP031303TTNMDPhysical Therapist
1173443TXMDPhysical Therapist
CP031303TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Dec 16, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Dec 28, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Apr 25, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Dec 28, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 11, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 4, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Drayer Physical Therapy Virginia, LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 25, 2024 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince May 31, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 11, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Dec 28, 2024 Accepting new patients
Benchmark Physical Therapy of Mississippi LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Drayer PT of VA LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Dec 28, 2024 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Aug 25, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 11, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 25, 2024 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations (25 of 44)

22083 US Highway 72
Athens, AL 35613
Phone (258) 216-1040

2900 E University Dr
Ste 130
Auburn, AL 36830
Phone (334) 209-0996

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

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

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

2703 Legends Pkwy
Prattville, AL 36066
Phone (334) 380-4930

1261 N Steamboat Dr
Ste 2
Fayetteville, AR 72704
Phone (479) 313-6591

2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187

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

863 W Oglethorpe Hwy
Ste 210
Hinesville, GA 31313
Phone (888) 578-5231

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

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

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

211 N 2nd St
Odessa, MO 64076
Phone (816) 230-3280

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

4010 Bienville Blvd
Unit E
Ocean Springs, MS 39564
Phone (228) 300-6001

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

16139 Lancaster Hwy
Ste 140
Charlotte, NC 28277
Phone (704) 540-6930

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

Organizations & group practices 31

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1780718627",
    "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": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16139 LANCASTER HWY STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772976",
            "telephone_number": "704-542-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5026 Deepwood Cir",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784152901",
            "country_code": "US",
            "telephone_number": "361-854-2278 x133",
            "fax_number": "361-854-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5729 Lebanon Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347259",
            "country_code": "US",
            "telephone_number": "469-731-4888",
            "fax_number": "469-722-7842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Warren Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750346549",
            "country_code": "US",
            "telephone_number": "972-377-4111",
            "fax_number": "972-377-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "863 W Oglethorpe Hwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134491",
            "country_code": "US",
            "telephone_number": "912-368-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESSELTINE",
        "first_name": "MANDY",
        "middle_name": "CAY",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP031303T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "CP030292T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "CP043874T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP026791T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1173443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP031303T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP030102T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP030101T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T8157",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196787901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.