Greendale Physical Therapy, LLC
NPI 1053316182ActiveOrganization· Physical Therapist· Shrewsbury, MA
Physical Therapist in Shrewsbury, Massachusetts, registered in NPPES in June 2005. The authorized official on file is Samantha Rose Ignasiak, Billing Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1053316182 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2005 |
| Last updated in NPPES | Aug 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 15249 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MA) |
|---|
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