Roman Leonidovich Pisarenko, PTA
NPI 1093515652ActiveIndividual· Physical Therapy Assistant· West Springfield, MA
Physical Therapy Assistant (PTA) in West Springfield, Massachusetts, licensed in MA, with an NPI issued in March 2025.
Overview
| NPI | 1093515652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2025 |
| Last updated in NPPES | Mar 13, 2025 |
| Certified by provider | Mar 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 10005 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapist assistants in West Springfield
- 1427999200
- 1740785872
- 1235699588