DOMINGO GRULLON JR. DPT
NPI 1720761570
Physical Therapist in Crown Point, IN
About Domingo Grullon Jr. Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINGO GRULLON JR. DPT (NPI 1720761570) is an individual physical therapist in Crown Point, Indiana, licensed in New York (40QA02192500) and active in the NPI registry since August 2023. He maintains 4 additional practice locations and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Domingo Grullon Jr. Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Domingo Grullon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peru, IN 46970
- Reassigned Medicare billing, Indiana enrollment
- 113 clinicians in this Medicare group
Spokane Valley, WA 99037
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CROWN POINT, IN 46307
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 Domingo Grullon's NPI number?
The NPI number for Domingo Grullon is 1720761570. It was assigned to this individual provider in the NPPES registry on August 9, 2023.
Where is Domingo Grullon located?
Domingo Grullon practices at 11275 Delaware Pkwy Ste B, Crown Point, IN 46307. The listed phone number is (219) 663-8766.
What is Domingo Grullon's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Domingo Grullon enrolled in Medicare?
Yes. Domingo Grullon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Domingo Grullon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domingo Grullon reassigns Medicare benefits to 2 organizations: Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Peru, IN) and Multicare Health System (Spokane Valley, WA). Each 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 Domingo Grullon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Domingo Grullon accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Premera Blue Cross Blue Shield of Alaska list Domingo Grullon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Domingo Grullon was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.