Grasmere Physical Therapy Wellness, PLLC
NPI 1306643598ActiveOrganization· Clinic/Center, Physical Therapy· Staten Island, NY
Clinic/Center, Physical Therapy in Staten Island, New York, registered in NPPES in February 2025. The authorized official on file is Igor Tserlyuk, DPT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1306643598 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2025 |
| Last updated in NPPES | Mar 17, 2025 |
| Certified by provider | Mar 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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