Heatherlynn Wincapaw Gruber, PTA
Individual provider Active NPI Physical Therapy Assistant · Elgin, OK
NPI 1942908579 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1942908579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2693 (OK)
- Practice address
- 8355 US Highway 277
Elgin, OK 73538-2207 - Phone
- (580) 492-1112
- NPI assigned
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H2 Health Oklahoma Outpatient Clinics LLC | Past |
Accepting new patients | |
| Valir Hospice Care, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2693 | OK | Yes |
Addresses
Primary practice location
8355 US Highway 277
Elgin, OK 73538-2207
Mailing address
105 NE Sunset Dr
Elgin, OK 73538-2347
Phone (719) 306-5854
Other practice location 1
800 NW 6th St
Oklahoma City, OK 73106-7241
Phone (405) 609-3667
Other providers in Elgin, OK
- Sarah Euliano
- Vanessa Flores
- Elizabeth Foster
- Iliana Michelle Garcia
- Jennifer Rae Glover
- Treyvon Harris
- Shyra Denee Howard
- Amanda Kaye Hughes
- Sheila Jeanette Hull
- Trystin Jarvis
All providers in Elgin, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.