Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Heather Roan Porter, PTA

Individual provider Physical Therapy Assistant · NPI 1336116615

Mrs. Heather Roan Porter, PTA is a Physical Therapy Assistant in Granite City, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Idaho, Illinois and Missouri.

Licensed in
ID, IL, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1503 Lindell Blvd
Granite City, IL 62040-3837
Phone: (618) 709-4125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 510 W Palouse River Dr, Moscow, ID 83843-8901 — (208) 882-1570
  • 201 Bell St, Alhambra, IL 62001-3049 — (618) 488-2355

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008943 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA-333 (ID)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2020010583 (MO)

Record details

NPI number1336116615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 4, 2006
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

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