Active NPI
Gabrielle Stubblefield Heinz, PT, DPT, ATC
- Physical Therapist
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013798A
- Practice address
- 14455 Clay Terrace Blvd
Carmel, IN 46032-3605 - Phone
- (317) 415-5747
- NPI assigned
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36002869A | IN | |
| Physical Therapist | 225100000X | 05013798A | IN | Primary |
Addresses
Primary practice location
14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Mailing address
14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Phone (317) 415-5795
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002869A | IN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Past | Accepting new patients |
Locations
14455 Clay Terrace Blvd
Ste B
Carmel, IN 46032
Phone (317) 415-5747
14455 Clay Terrace Blvd
Carmel, IN 46032
Phone (317) 415-5747
8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
Interoperability endpoints
- gabrielle.heinz.1@7598.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1366689044
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1053036251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14455 CLAY TERRACE BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14455 CLAY TERRACE BLVD",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323605",
"telephone_number": "317-415-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "GABRIELLE",
"middle_name": "STUBBLEFIELD",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-10",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002869A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013798A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.