Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Katherine Van Heel, PT, DPT

Individual provider Physical Therapist · NPI 1255160602

Mary Katherine Van Heel, PT, DPT is a Physical Therapist in Private Practice in Roswell, Georgia. Qualified in 2024, 2 years ago. Practices with Fox Rehabilitation Ga, LLC, a 107-clinician group. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12050 Etris Rd
Roswell, GA 30075-1443
Phone: (770) 801-4657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017392 (GA)

Record details

NPI number1255160602
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fox Rehabilitation Ga, Llc — 107 clinicians
Accepts Medicare assignment Not indicated

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