Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grasmere Physical Therapy Wellness, PLLC

Organization Physical Therapist · NPI 1306643598

Grasmere Physical Therapy Wellness, PLLC is a Physical Therapist in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Victory Blvd
Staten Island, NY 10301-3623
Phone: (718) 442-1003
Fax: (718) 442-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Therapist Taxonomy 225100000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1306643598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Igor Tserlyuk — Physical Therapist/Owner · (718) 442-1003
NPI enumeratedFebruary 26, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address1130 Victory Blvd, Staten Island, NY 10301-3623

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