Emerson Medrano Mateo, DR PHYSICAL THERAPY
NPI 1992755607ActiveIndividual· Clinic/Center, Physical Therapy· Teaneck, NJ
Clinic/Center, Physical Therapy (DR PHYSICAL THERAPY) with Therapy Wellness LLC, practicing in Teaneck, New Jersey. Medicare paid $104,308 for services to 34 patients in 2024.
Overview
| NPI | 1992755607 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DR PHYSICAL THERAPY |
| Sole proprietor | Yes |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Feb 26, 2021 |
| Certified by provider | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | 40QA01048000 | NJ |
| Physical Therapist, Geriatrics | 2251G0304X | 024900 | NY |
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 | 34 |
|---|---|
| Services billed | 4,452 across 10 procedure codes |
| Paid by Medicare | $104,308 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Therapy Wellness LLCTeaneck, NJ · 3 clinicians
Other Clinic/Center, Physical Therapy providers in Teaneck
- 1104789395
- 1366210411
- 1629429642
- 1730773961
- 1770632390
- 1811507015
- 1962738609
- 1972882249
- 1568229607