KAREN HEFFRON (PT) – Physical Therapist, NPI 1235801051

KAREN HEFFRON (PT) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 004839 (GA). The NPI Number for KAREN HEFFRON (PT) is 1235801051

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KAREN HEFFRON (PT)
NPI
1235801051
Phone
(866) 839-6979
Address
59 EXECUTIVE PARK S STE 1000
Enumeration Date
30 September 2021
Last Update Date
30 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
1995 (31 years ago)
PAC ID
2365830577
Group Practice PAC ID
4082027727
Professional Enrollment ID
I20211020002132
Address ID
GA303031292AT260XXNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,899 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KAREN HEFFRON (PT)

  • 59 EXECUTIVE PARK S STE 1000

    ATLANTA, GA 303292208

    Phone: (866) 839-6979

    Type: Location

  • 3861 MEMORIAL PKWY NW

    KENNESAW, GA 301522421

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211020002132IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46219$0
97140Therapy procedure using manual technique, each 15 minutes11815$0
97530Therapy procedure using functional activities10416$0
View full utilization report →

Insurance plans in this area (ZIP 30329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082027727View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeLA

Reviews

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Frequently asked questions

Can I verify KAREN HEFFRON (PT) with an NPI only?
You can start verification with NPI 1235801051 for KAREN HEFFRON (PT), then check state licensing separately.
Does CMS list KAREN HEFFRON (PT) as active?
Yes — KAREN HEFFRON (PT) is active in the NPI listing used on this page.
What healthcare role does KAREN HEFFRON (PT) hold?
Scheduling teams often label KAREN HEFFRON (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Does KAREN HEFFRON (PT) list a practice location?
Patients near Atlanta, Georgia may find KAREN HEFFRON (PT) in results; validate coverage separately.
Why does KAREN HEFFRON (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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