PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC – NPI #1194216135
Clinic/Center

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC is an AHC clinic located in FLEETWOOD - CONCOURSE VILLAGE, NY. NPPES has assigned the NPI number 1194216135 to PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC on May 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QX0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Occupational Medicine

The NPI profile was previously updated about 8 years ago on May 30, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC below.

NPI Profile for
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

NPI Number
1194216135
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Primary location
599 GRAMATAN AVE STE 205
FLEETWOOD - CONCOURSE VILLAGE, NY 10552
Phone: (914) 371-1990 Fax: (914) 371-7588
Mailing address
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone: (631) 359-5859 Fax: (631) 396-0865
Organization Subpart
No
Authorized Official
KATHLEEN BRUSH
CREDENTIALING MANAGER
Phone: (631) 359-5805
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QX0100X
- Clinic/Center / Occupational Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.