Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARL L. HELDMAN PT
NPI 1710996400
Physical Therapist in Tucker, GA

Active since August 05, 2006Accepts Medicare Assignment
4404 HUGH HOWELL RD STE 18, TUCKER, GA 30084(770) 493-5543 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carl L. Heldman Pt NPPES

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

CARL L. HELDMAN PT (NPI 1710996400) is an individual physical therapist in Tucker, Georgia, licensed in Georgia (PT008128) and active in the NPI registry since August 2006. He maintains a secondary practice location in Atlanta and is a graduate of Other (2002).

NPPES Registry Identity

NPI1710996400
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCARL L. HELDMANCredential: PT
Location Address4404 HUGH HOWELL RD STE 18Tucker, GA 30084-4916
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 5, 2006
Last NPPES UpdateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1710996400 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 · PT008128
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.
4404 HUGH HOWELL RD STE 18, Tucker, GA 30084

Secondary Practice Location 1

Location 157 Executive Park South NE, Suite 190Atlanta, GA 30329-2288 · Phone (404) 778-6390

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

Carl L. Heldman 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 ID6103823059
PECOS Enrollment IDI20061107000137

Medicare Billing Reassignments

3

Medicare enrollment records show Carl Heldman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1459 MONTREAL RD STE 304
Tucker, GA 30084
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Physical Therapist
1404 LAWRENCEVILLE SUWANEE RD STE A101
Lawrenceville, GA 30043
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
Physical Therapy
448 W KYTLE ST STE C
Cleveland, GA 30528
  • Reassigned Medicare billing, Georgia enrollment
  • 133 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
276 services17 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
117 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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.

Other Providers at the Same Location NPPES 7

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

Physical Therapist
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Physical Therapist
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Clinic/Center (Physical Therapy)
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Physical Therapist
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Physical Therapist
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Occupational Therapist
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084
Clinic/Center (Physical Therapy)
4404 HUGH HOWELL RD STE 18
TUCKER, GA 30084

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 Carl Heldman's NPI number?

The NPI number for Carl Heldman is 1710996400. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Carl Heldman located?

Carl Heldman practices at 4404 Hugh Howell Rd Ste 18, Tucker, GA 30084. The listed phone number is (770) 493-5543.

What is Carl Heldman's specialty?

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

Is Carl Heldman enrolled in Medicare?

Yes. Carl Heldman 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 Carl Heldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Heldman reassigns Medicare benefits to 3 organizations: Emory Physical Therapy, LLC (Tucker, GA), Unique Care LLC (Lawrenceville, GA) and Atlanta Rehabilitation And Performance Center (Cleveland, 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 Carl Heldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Heldman accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 8 other insurers list Carl Heldman 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 Carl Heldman was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.