MARY KATHERINE VAN HEEL PT, DPT
NPI 1255160602
Physical Therapist in Roswell, GA

Active since August 01, 2024
12050 ETRIS RD, ROSWELL, GA 30075(770) 801-4657 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Aug 1, 2024 (2 updates tracked since 2024).

About Mary Katherine Van Heel Pt, Dpt NPPES

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

MARY KATHERINE VAN HEEL PT, DPT (NPI 1255160602) is an individual physical therapist in Roswell, Georgia, licensed in Georgia (PT017392) and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1255160602
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARY KATHERINE VAN HEELCredential: PT, DPT
Location Address12050 ETRIS RDRoswell, GA 30075-1443
Mailing Address2418 Calibre Creek PkwyRoswell, GA 30076-4540
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 1, 2024
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1255160602 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 · PT017392
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.
12050 ETRIS RD, Roswell, GA 30075

Other Names 1

Former Name (1)Mary Katherine Page Hopkins

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Katherine Van Heel Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820560618
PECOS Enrollment IDI20260612000164

Medicare Billing Reassignment

Medicare enrollment records show Mary Van Heel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1260 HIGHTOWER TRL
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 220 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
12050 ETRIS RD, SUITE E-150
ROSWELL, GA 30075
Physical Therapist
12050 ETRIS RD, SUITE E-150
ROSWELL, GA 30075
Physical Therapist
12050 ETRIS RD
ROSWELL, GA 30075

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 Mary Van Heel's NPI number?

The NPI number for Mary Van Heel is 1255160602. It was assigned to this individual provider in the NPPES registry on August 1, 2024. The provider is also known as Mary Katherine Page Hopkins.

Where is Mary Van Heel located?

Mary Van Heel practices at 12050 Etris Rd, Roswell, GA 30075. The listed phone number is (770) 801-4657.

What is Mary Van Heel's specialty?

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

Is Mary Van Heel enrolled in Medicare?

Yes. Mary Van Heel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Van Heel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Van Heel reassigns Medicare benefits to Fox Rehabilitation Ga, LLC (Atlanta, GA). The 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 Mary Van Heel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Van Heel was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.