Heather Garavelli, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16054 Issued in NC

Practice address

4503 Main St
Shallotte, NC 28470-4447

Phone

(910) 721-3157

NPI assigned

Oct 21, 2016

Last updated

Nov 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hsmith287028@direct.novanthealth.org

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.

• Foundation Health Systems LLC

  dba Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Shallotte, NC
  • NPI 1013466564

  Physical Therapist

  NPD (past)
• Foundation Health Systems LLC

  dba Novant Health Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1831640093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704447",
            "telephone_number": "910-721-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAVELLI",
        "first_name": "HEATHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsmith287028@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4503 Main St",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284704447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Frazer
• Frederick a. Williams,DMD , PA
• Nicole Marie French, FNP-BC
• Jennifer Gambino, DC
• Scott Christopher Ganucheau, MSPAS, PA-C, ATC
• Tessa Jean Gardner, LCSWA, LCASA
• Marshall Bruce Garris, M.ED., LPC
• Geeson, Rooks & Associates DDS II PA (Complete Dental Shallotte)
• Genoa Healthcare LLC
• Parth Suresh Ghatalia, DDS

• Physical Therapist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.