Olivia Anne Geruso, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048101 Issued in NY

Practice address

4654 Onondaga Blvd # 1
Syracuse, NY 13219-3385

Phone

(315) 475-7121

NPI assigned

Dec 17, 2021

Sex

Female

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve Physical Therapy, PCGroup PAC ID 0749186971, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Achieve Physical Therapy, PC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1790778983

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1831858844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 ONONDAGA BLVD # 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193385",
            "telephone_number": "315-475-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 ONONDAGA BLVD # 1",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193385",
            "telephone_number": "315-475-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERUSO",
        "first_name": "OLIVIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Germakovski
• Kathryn E Gersch, FNP-BC
• Elizabeth Gershberg, DO
• John I Gerson, MD
• Debra Lee Gertz, L.AC.
• Melissa Lynn Gervais, NP-C
• Suzanne S Getman, P.T
• Aart Geurtsen, MD
• Ghaly Sleep Center
• Fadi Ghaly

• All providers in Syracuse, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.