Greg Mierzwa
NPI 1689030199ActiveIndividual· Physical Therapist· Chicago Ridge, IL
Physical Therapist with Vital Care Wound Solutions Co, practicing in Chicago Ridge, Illinois. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1689030199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 13, 2016 |
| Last updated in NPPES | Apr 14, 2025 |
| Certified by provider | Apr 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070018409 | IL |
| Physical Therapist | 225100000X | 05010519A | IN |
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 (IL) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Vital Care Wound Solutions CoSchaumburg, IL · 7 clinicians
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