Active NPI
Jill Suzanne Gruber, P.T.
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1194787572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011396
- Practice address
- 450 Powers Ave
Lower Level
Harrisburg, PA 17109-5933 - Phone
- (717) 920-4950
- Fax
- (717) 920-4955
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015636L | PA | |
| Physical Therapist | 225100000X | PT011396 | OH | Primary |
Addresses
Primary practice location
450 Powers Ave
Lower Level
Harrisburg, PA 17109-5933
Mailing address
4220 Society Park CT
Apt C
Harrisburg, PA 17109-4936
Phone (165) 183-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011115982 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6021 Cleveland Ave
Columbus, OH 43231-2256
Phone (740) 615-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011396 | OH | MD | Physical Therapist |
| PT015636L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohrh, LLC | Current | Accepting new patients | |
| Ohrh, LLC | Physical Therapist | Current | Accepting new patients |
| Ohrh, LLC | Current | Accepting new patients | |
| Orthopedic Surgeons LTD | Physical Therapist | Past | Accepting new patients |
Locations
6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 224-1090
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Grove City, OH
- NPI 1770060212
-
- Physical Therapy Clinic/Center
- Columbus, OH
- NPI 1073090510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1194787572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 SOCIETY PARK CT",
"address_2": "APT C",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094936",
"telephone_number": "165-183-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 POWERS AVE",
"address_2": "LOWER LEVEL",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095933",
"telephone_number": "717-920-4950",
"fax_number": "717-920-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "JILL",
"middle_name": "SUZANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015636L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT011396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011115982 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.