Graceanne Lopez
NPI 1184389413ActiveIndividual· Physical Therapist· East Northport, NY
Physical Therapist with Island Physical Therapy of East Setauket, practicing in East Northport, New York. Medicare paid $72,761 for services to 122 patients in 2024.
Overview
| NPI | 1184389413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 2, 2021 |
| Last updated in NPPES | Nov 2, 2021 |
| Certified by provider | Nov 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 3,596 across 8 procedure codes |
| Paid by Medicare | $72,761 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Island Physical Therapy of East SetauketEast Setauket, NY · 3 clinicians
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All 50 physical therapists in East Northport · All physical therapists in New York