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NPI Code Detail

MEDICARE: HEATHER GELLENY PT, DPT

MEDICARE:   HEATHER  GELLENY  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1063377869
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER GELLENY PT, DPT
Provider Business Mailing Address
First Line : 10660 PARK RD STE 3200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10660 PARK RD STE 3200
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8420
Country : US
Telephone Number : 704-667-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ HEATHER GELLENY PT, DPT” Practice Location

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