GRASMERE PHYSICAL THERAPY WELLNESS, PLLC
NPI 1306643598
Clinic/Center - Physical Therapy in Staten Island, NY
About Grasmere Physical Therapy Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRASMERE PHYSICAL THERAPY WELLNESS, PLLC (NPI 1306643598) is a healthcare organization registered as a physical therapy in Staten Island, New York and active in the NPI registry since February 2025. The organization lists Igor Tserlyuk, Physical Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grasmere Physical Therapy Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Grasmere Physical Therapy Wellness, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grasmere Physical Therapy Wellness, PLLC's NPI number?
The NPI number for Grasmere Physical Therapy Wellness, PLLC is 1306643598. It was assigned to this organization in the NPPES registry on February 26, 2025.
Where is Grasmere Physical Therapy Wellness, PLLC located?
Grasmere Physical Therapy Wellness, PLLC is located at 1130 Victory Blvd, Staten Island, NY 10301. The listed phone number is (718) 442-1003.
What is Grasmere Physical Therapy Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Grasmere Physical Therapy Wellness, PLLC enrolled in Medicare?
Yes. Grasmere Physical Therapy Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grasmere Physical Therapy Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Grasmere Physical Therapy Wellness, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grasmere Physical Therapy Wellness, PLLC was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grasmere Physical Therapy Wellness, Pllc · NPI 1306643598
Physical Therapy organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since February 26, 2025.
## Identity
- **NPI:** 1306643598 (Entity type: Organization)
- **Enumerated:** February 26, 2025
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Igor Tserlyuk, PHYSICAL THERAPIST/OWNER
## Practice location
- **Address:** 1130 VICTORY BLVD, Staten Island, NY 10301-3623
- **Phone:** (718) 442-1003 · **Fax:** (718) 442-1150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2025
- **Other identifiers:** Other 1215507579 (NY); Other 1568235760 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1306643598) · Data from the CMS NPPES public registry.