Active NPI
Professional Occupational & Physical Therapy, PLLC
- Occupational Therapist
- Morristown, NJ
National Provider Identifier
1093265571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
- Practice address
- 21 Headquarters PLZ Lowr Lobby
Morristown, NJ 07960-3963 - Phone
- (973) 993-9500
- Fax
- (973) 993-9510
- NPI assigned
- Oct 10, 2016
- Last updated
- Mar 27, 2018
- 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
- Kathleen Brush
- Title
- Credentialing Manager
- Phone
- (631) 359-5859
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
21 Headquarters PLZ Lowr Lobby
Morristown, NJ 07960-3963
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170118000654 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3779873401 |
Receives reassigned benefits from 296 practitioners This NPI is an additional NPI on the enrollment |
| O20180209001604 | NJ | DME Supplier - Independently-Practicing Physical Therapist | 3779873401 |
1 other NPI on this enrollment Practice locations: Morristown, NJ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Occupational Therapist
- Morristown, NJ
- NPI 1164954327
O20180209001604
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- West Orange, NJ
- NPI 1942309026
-
- Hand Occupational Therapist
- Clifton, NJ
- NPI 1710014220
-
- Physical Therapist
- Woburn, MA
- NPI 1710134846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1093265571",
"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": "21 HEADQUARTERS PLZ LOWR LOBBY",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079603963",
"telephone_number": "973-993-9500",
"fax_number": "973-993-9510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-10",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "BRUSH",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "631-359-5859"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
- Primary Care Partners, LLC
- Prime One Physical Therapy LLC
- Princeton Health Care Services, LLC (Garden State Gynecology)
- Hsiao Han Proano Celi
- Proassist Surgical Services, LLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Kristine Lynn Profeta, M.D.
- Nikoletta Proudan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.