Terry Gruber, B.S. ED.

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

E2R098400085 Issued in WV

Practice address

5699 S Fork Little Cacapon Rd
Shanks, WV 26761-9128

Phone

(304) 257-0240

NPI assigned

Mar 18, 2020

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1750917050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 S FORK LITTLE CACAPON RD",
            "city": "SHANKS",
            "state": "WV",
            "postal_code": "267619128",
            "telephone_number": "304-257-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 S FORK LITTLE CACAPON RD",
            "city": "SHANKS",
            "state": "WV",
            "postal_code": "267619128",
            "telephone_number": "304-257-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "TERRY",
        "credential": "B.S. ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "WV",
            "license": "E2R098400085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gruber@hardynet.com",
            "affiliation": "N",
            "address_1": "1840 S Fork Little Cacapon Rd",
            "city": "Augusta",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267047391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ruby Shingleton

• Developmental Therapist in Shanks, WV
• Providers in Shanks, WV by specialty
• Developmental Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.