Doctor profile · Federal record

Dr. Domingo Grullon, DPT

Physical Therapist · Physical Therapist · Crown Point, IN

  • NPI 1720761570
  • 3 yrs on file
  • Licensed in 2 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 5 locations .

NPPES Updated May 11, 2026
Primary practice
11275 Delaware Pkwy Ste B
Crown Point, IN 463077812
(219) 663-8766
Additional location
10787 Randolph St Ste 220
Winfield, IN 463077615
(219) 333-5900
Additional location
2502 Calumet Ave
Valparaiso, IN 463832762
(219) 280-2034
Show 2 more locations
Additional location
3319 Willowcreek RD
Portage, IN 463685015
(574) 544-5434
Additional location
19321 Mountain Hwy E Ste 100
Spanaway, WA 983878450
(253) 846-8918
fax (253) 846-8126
Mailing address
6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 984096828

Credentials & registration

NPPES · NUCC
NPI registered
August 2023 — 3 yrs on file
Profile last updated
October 17, 2024
Specialty taxonomy
225100000X — NUCC code
State licenses (2)
New York #40QA02192500 · Virginia #CP035073T

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1720761570. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
382
Distinct HCPCS
3
Medicare allowed
$11,171
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 216 41 $32
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 141 35 $26
97140 Therapy procedure using manual technique, each 15 minutes 25 12 $21

In context: peer comparison

Among 11 peers in Crown Point Physical Therapist, average services per provider: 583. This provider delivers 0.7× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Domingo Grullon's medical specialty?
Dr. Domingo Grullon practices Physical Therapist in Crown Point, IN.
Where does Dr. Domingo Grullon practice?
Dr. Domingo Grullon practices at 11275 Delaware Pkwy Ste B, Crown Point, IN 463077812. Office phone: 2196638766.
What is Dr. Domingo Grullon's NPI?
Dr. Domingo Grullon's National Provider Identifier (NPI) is 1720761570, issued by NPPES.
What procedures does Dr. Domingo Grullon commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.