KAREN HEFFRON PT
NPI 1235801051
Physical Therapist in Atlanta, GA

Active since September 30, 2021Accepts Medicare Assignment
59 EXECUTIVE PARK S STE 1000, ATLANTA, GA 30329(866) 839-6979 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen Heffron Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN HEFFRON PT (NPI 1235801051) is an individual physical therapist in Atlanta, Georgia, licensed in Georgia (004839) and active in the NPI registry since September 2021. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1235801051
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKAREN HEFFRONCredential: PT
Location Address59 EXECUTIVE PARK S STE 1000Atlanta, GA 30329-2208
Mailing Address3861 Memorial Pkwy NwKennesaw, GA 30152-2421
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
✔ NPI 1235801051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · 004839
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
59 EXECUTIVE PARK S STE 1000, Atlanta, GA 30329

Other Names 1

Former Name (1)Karen Murray

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Heffron Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365830577
PECOS Enrollment IDI20211020002132

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Heffron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
1968 HAWKS LN NE STE 160
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Heffron's NPI number?

The NPI number for Karen Heffron is 1235801051. It was assigned to this individual provider in the NPPES registry on September 30, 2021. The provider is also known as Karen Murray.

Where is Karen Heffron located?

Karen Heffron practices at 59 Executive Park S Ste 1000, Atlanta, GA 30329. The listed phone number is (866) 839-6979.

What is Karen Heffron's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Karen Heffron enrolled in Medicare?

Yes. Karen Heffron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Heffron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Heffron reassigns Medicare benefits to 2 organizations: Emory Physical Therapy, LLC (Brookhaven, GA) and Georgia Luna Care Physical Therapy LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Heffron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Heffron accept?

Health plans from Ambetter Health and Oscar Health list Karen Heffron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karen Heffron was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.