Heather Gronkowski
Physical Therapist in Buffalo, NY. Individual provider (NPI-1).
NPI number1942951173
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1942951173
- Entity type
- Individual (NPI-1)
- Name
- Heather Gronkowski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2022
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 047948 | NY | Yes |
Practice location
100 Washington StBuffalo, NY 14203-3023
Phone 716-204-3200
Mailing address
4225 Genesee St Ste 400Cheektowaga, NY 14225-1994
Phone 716-204-3200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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