Progressive Rehab and Home Care PT & OT, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014057 Issued in NY

Legal business name

PROGRESSIVE REHAB AND HOME CARE PT & OT, PLLC

Practice address

4121 28TH St Apt 14C
Long Island City, NY 11101-3766

Phone

(201) 803-7008

Fax

(201) 786-9222

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Mahros K Isaac, PTNPI 1568780104

Title

Owner

Phone

(201) 803-7008

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahros K Isaac, P.T.

  • Physical Therapist
  • Ridgewood, NJ
  • NPI 1568780104

  NY

  Medicare reassignment NPD Authorized official
• Andrew Nicholas Woolward, OTR/L

  • Occupational Therapist
  • Elmhurst, NY
  • NPI 1154565687
  Medicare reassignment NPD
• Annaciela Lazaro, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1457615171
  Medicare reassignment
• Ambika Devacaanthan, MSPT

  • Physical Therapist
  • New York, NY
  • NPI 1922148337
  NPD
• Kate Hillman

  • Occupational Therapist
  • Ridgewood, NJ
  • NPI 1275930133
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1093084634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE UNIT 309",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074517015",
            "telephone_number": "201-803-7008",
            "fax_number": "201-786-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 28TH ST APT 14C",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013766",
            "telephone_number": "201-803-7008",
            "fax_number": "201-786-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REHAB AND HOME CARE PT & OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "MAHROS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-803-7008",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023107",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.