Active NPI
Robert Wilutis Occupational and Physical Therapy, PLLC
- Durable Medical Equipment & Medical Supplies
- Riverhead, NY
National Provider Identifier
1003090374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 008737
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4823760003 | Other | NY | DME NSC |
Other names 1
- Robert Wilutis Hand Therapy, PLLC
National Provider Directory
National Provider DirectoryLocations
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.