Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

390 State Route 10 Ste 202
Randolph, NJ 07869-2141

Phone

(973) 895-9925

Fax

(973) 895-9927

NPI assigned

Oct 10, 2016

Last updated

Apr 23, 2019By 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

Kathllen Brush

Title

Credentialing Manager

Phone

(631) 359-5859

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Montville, NJ
  • NPI 1053812214

  Member Of

  NPD member

Locations (25 of 47)

Practitioners 803

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.

• Yasmin Abd Elhady

  • Physical Therapist
  • Union, NJ
  • NPI 1548662091
  NPD
• Kimberly Afordakos, DPT

  • Physical Therapist
  • Lyndhurst, NJ
  • NPI 1043224215
  NPD
• Chiwon Ahn

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1750142626
  NPD
• Chiemeka Akawuaku

  • Occupational Therapist
  • Union City, NJ
  • NPI 1306457825
  NPD
• Cristina Algeri

  • Physical Therapist
  • Scotch Plains, NJ
  • NPI 1356063366
  NPD
• Dominick Algeri

  • Physical Therapist
  • Millburn, NJ
  • NPI 1033830856
  NPD
• Jayson Alphonsus

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1578246096

  Multi-Specialty

  NPD
• Kristin L Anderson

  • Occupational Therapist
  • Emerson, NJ
  • NPI 1730946039
  NPD
• Tyler Andriopoulos

  • Physical Therapist
  • Montclair, NJ
  • NPI 1912782426
  NPD
• Nicole Antista, PT, DPT

  • Physical Therapist
  • Ramsey, NJ
  • NPI 1285217588
  NPD
• Justin Arnold

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1346961455
  NPD
• Christian Atexide, D.P.T

  • Physical Therapist
  • West Orange, NJ
  • NPI 1942533187
  NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1104376680",
    "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": "390 STATE ROUTE 10 STE 202",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692141",
            "telephone_number": "973-895-9925",
            "fax_number": "973-895-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "KATHLLEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-359-5859"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Christine Plansky, DMD
• Prasada Center for Wellbeing East (Prasada In Home)
• Prasada Center for Wellbeing Inc
• Prime Healthcare Services - Saint Clare's, LLC (Saint Clare's Health - Lakeland Cardiology Center)
• Pro Physical Therapy, LLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Professional Portable Radiologic Services, Inc. (Professional Portable X-ray)
• Derek Protasiewicz
• Edit Punk, PTA
• Joseph Vito Racanelli, DDS

• Occupational Therapist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.