Jesse Grullon, DPT
NPI 1518585512ActiveIndividual· Physical Therapist, Sports· Los Angeles, CA
Physical Therapist, Sports (DPT) with Usc Care Medical Group Inc, practicing in Los Angeles, California. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1518585512 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jul 7, 2020 |
| Last updated in NPPES | Mar 22, 2021 |
| Certified by provider | Mar 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Sports Primary | 2251S0007X | PT298714 | CA |
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 Practitioner - Physical Therapist in Private Practice (CA); Practitioner - Physical Therapist in Private Practice (SC) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Usc Care Medical Group IncLos Angeles, CA · 1,380 clinicians
Other Physical Therapist, Sports providers in Los Angeles
- 1942953724
- 1023215530
- 1801025572
- 1538947874
- 1669049060
- 1396131173
- 1174250138
- 1619548179
- 1548735376
- 1427695774
- 1811563190
- 1518065184