Nermin Gradascevic, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295501 Issued in CA

Practice address

957 Faulkner Rd Ste 105
Santa Paula, CA 93060-9129

Phone

(805) 765-4773

Fax

(805) 392-9975

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Two Trees Physical Therapy and Wellness IncGroup PAC ID 5597915603, 58 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1770830325
  Medicare reassignment Care Compare group NPD
• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Santa Clarita, CA
  • NPI 1811910797
  Medicare reassignment NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1205453305
  NPD
• Vargo Physical Therapy, Inc

  • Physical Therapist
  • Burbank, CA
  • NPI 1104316827
  NPD (past)
• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Northridge, CA
  • NPI 1386768539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1376010702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1015",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651015",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 FAULKNER RD STE 105",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609129",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADASCEVIC",
        "first_name": "NERMIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saida Gonzalez, MSW STUDENT
• Stefany Gonzalez, MSW
• Jenifer W Goodman
• Rebecca Gordon
• Cecilia Goyette
• Amber Graham
• Elidio Rene Guajardo Jr.
• H & S Management Group, LLC
• Yvonne Haller, NP
• Ashley Hanna, RN

• Physical Therapist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.