Professional Occupational & Physical Therapy, PLLC
Occupational Therapist in New York, NY. Organization (NPI-2).
Details
- NPI
- 1508317835
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Occupational & Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2016
- Last updated
- May 31, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Practice location
2162 Broadway Fl 2New York, NY 10024-6620
Phone 212-362-3595 · Fax 212-362-3587
Mailing address
576 Broadhollow RdMelville, NY 11747-5002
Phone 631-359-5859 · Fax 631-396-0865
Authorized official
Kathleen Brush
Credentialing Manager
6313595859
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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