Susan Bolanos
NPI 1790477149ActiveIndividual· Physical Therapist· Secaucus, NJ
Physical Therapist with Professional Occupational and Physical Therapy, PLLC, practicing in Secaucus, New Jersey. Medicare paid $56,468 for services to 129 patients in 2024.
Overview
| NPI | 1790477149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 24, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certified by provider | May 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | NJ |
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 (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 129 |
|---|---|
| Services billed | 2,582 across 10 procedure codes |
| Paid by Medicare | $56,468 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Professional Occupational and Physical Therapy, PLLCWhitestone, NY · 495 clinicians
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