Organization Active NPI

Robert Wilutis Occupational and Physical Therapy, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Riverhead, NY
National Provider Identifier
1003090374
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
008737 Issued in NY
Legal business name
ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC
Practice address
74 Commerce Dr
Suite 3
Riverhead, NY 11901-3105
Phone
(631) 331-3608
Fax
(631) 331-2392
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert S Wilutis, MS OTR CHT
Title
Owner
Phone
(631) 331-3608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 008737 NY Primary

Addresses

Primary practice location

74 Commerce Dr
Suite 3
Riverhead, NY 11901-3105

Mailing address

635 Belle Terre Rd
Suite 105
Port Jefferson, NY 11777
Phone (631) 331-3608

Other identifiers 1

IdentifierTypeStateIssuer
4823760003OtherNYDME NSC

Other names 1

  • Robert Wilutis Hand Therapy, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

635 Belle Terre Rd
Ste 105
Prt Jefferson, NY 11777
Phone (631) 331-3608

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1003090374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD",
            "address_2": "SUITE 105",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-331-3608",
            "fax_number": "631-331-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 COMMERCE DR",
            "address_2": "SUITE 3",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013105",
            "telephone_number": "631-331-3608",
            "fax_number": "631-331-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "WILUTIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-331-3608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS OTR CHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "008737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NSC",
            "identifier": "4823760003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Wilutis Hand Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.