Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

346 Main Ave
Norwalk, CT 06851-1592

Phone

(203) 847-4400

Fax

(203) 847-4442

NPI assigned

Oct 6, 2016

Last updated

Mar 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Brush

Title

Credentialing Manager

Phone

(718) 819-6805

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Southport, CT
  • NPI 1073063574

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Ridgefield, CT
  • NPI 1134679699

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Darien, CT
  • NPI 1629528120

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Stamford, CT
  • NPI 1972053478

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  O20170111002415

  Same enrollment

Tax ID family

Prof Occptnl Phyl Thpy119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Southport, CT
  • NPI 1073063574
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Ridgefield, CT
  • NPI 1134679699
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Darien, CT
  • NPI 1629528120
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Stamford, CT
  • NPI 1972053478
  NPD tax ID

Locations

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1073063723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511592",
            "telephone_number": "203-847-4400",
            "fax_number": "203-847-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-819-6805"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presto Dental PLLC
• Susan E Pritchard Downie, M.S.
• Khaleed Pritchard
• Professional Dental Alliance of Norwalk, PLLC (All Smiles LLC)
• Professional Dental Alliance of Norwalk, PLLC (All Smiles)
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Therapy Contracting Services of CT, LLC
• Nicole M Protomastro, APRN
• Emilie Pryde, LCSW
• PT Plus, LLC

• Occupational Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.