Grasmere Physical Therapy and Rehabilitation, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GRASMERE PHYSICAL THERAPY AND REHABILITATION, PLLC

Practice address

684 W Fingerboard Rd
Staten Island, NY 10305-2630

Phone

(718) 442-1003

Fax

(718) 442-1150

NPI assigned

Sep 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Igor Tserlyuk, DPTNPI 1568711802

Title

Owner

Phone

(718) 442-1003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Tserlyuk, DPT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1568711802
  Medicare reassignment Care Compare group NPD Authorized official
• Sakshi Korgaonkar

  • Physical Therapist
  • Staten Island, NY
  • NPI 1568235760
  Medicare reassignment Care Compare group NPD
• Viveki Pandya, PT

  • Physical Therapist
  • Staten Island, NY
  • NPI 1215507579
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411862400000",
    "number": "1790188316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 W FINGERBOARD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052630",
            "telephone_number": "718-442-1003",
            "fax_number": "718-442-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W FINGERBOARD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052630",
            "telephone_number": "718-442-1003",
            "fax_number": "718-442-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASMERE PHYSICAL THERAPY AND REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A",
        "authorized_official_last_name": "TSERLYUK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-442-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaya Kimona Grant
• Irene Grant, LPN
• Nicole Grant
• Shyelle Gabrielle Grant, RN
• Tyler Grantham, MD
• Grasmere Physical Therapy Wellness, PLLC
• Grasmere Sleep Lab Corp
• Elysha Rand Grauman, PA
• Brianna N Gravagna
• Nichole Francine Graves-McLeod, LMSW

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.