Active NPI
Robert Wilutis Occupational and Physical Therapy, PLLC
- Occupational Therapist
- Southampton, NY
National Provider Identifier
1295084382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC
- Practice address
- 18 West Main Street
Southampton, NY 11968 - Phone
- (631) 331-3608
- Fax
- (631) 331-2392
- NPI assigned
- Sep 5, 2012
- 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, OTR, CHT
- Title
- Owner
- Phone
- (631) 331-3608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
18 West Main Street
Southampton, NY 11968
Mailing address
70 North Country Road
Suite 103
Port Jefferson, NY 11777
Phone (631) 331-3608
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1295084382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 NORTH COUNTRY ROAD",
"address_2": "SUITE 103",
"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": "18 WEST MAIN STREET",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "11968",
"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": "2012-09-05",
"last_updated": "2012-09-05",
"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": "OTR, CHT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.