Individual provider Active NPI

Heidi Rebecca Grubb, DPT

  • Physical Therapist
  • Douglassville, PA
National Provider Identifier
1750560652
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018213 Issued in PA
Practice address
955 Ben Franklin Hwy W
Suite 7
Douglassville, PA 19518-1048
Phone
(610) 953-3232
Fax
(610) 953-3230
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018213 PA Primary

Addresses

Primary practice location

955 Ben Franklin Hwy W
Suite 7
Douglassville, PA 19518-1048

Mailing address

955 Ben Franklin Hwy W
Ste 7
Douglassville, PA 19518-1049
Phone (610) 953-3232

Other identifiers 2

IdentifierTypeStateIssuer
1477831030OtherPAGROUP NPI
1930824OtherPAHIGHMARK

Other names 1

  • Heidi Rebecca Messner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071214000043 PA Practitioner - Physical Therapist in Private Practice 5294825204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 Ben Franklin Hwy W
Suite 7
Douglassville, PA 19518-1049
Phone (610) 953-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plumb Line Physical Therapy, LLC Physical Therapist CurrentSince Feb 17, 2012 Accepting new patients
Mishock Physical Therapy & Associates, LLC Physical Therapist Past Accepting new patients
Aquabilities, Inc. Physical Therapist Past Accepting new patients

Locations

955 Ben Franklin Hwy W
Ste 7
Douglassville, PA 19518
Phone (610) 953-3232

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1750560652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BEN FRANKLIN HWY W",
            "address_2": "STE 7",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181049",
            "telephone_number": "610-953-3232",
            "fax_number": "610-953-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BEN FRANKLIN HWY W",
            "address_2": "SUITE 7",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181048",
            "telephone_number": "610-953-3232",
            "fax_number": "610-953-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "HEIDI",
        "middle_name": "REBECCA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1477831030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1930824",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "MESSNER",
            "middle_name": "REBECCA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.

Verify at the official NPI Registry.