Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

7 Cedar Grove LN
Suite 39
Somerset, NJ 08873-1331

Phone

(732) 469-5681

Fax

(732) 868-1422

NPI assigned

Mar 27, 2017

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

(631) 359-5859

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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

• Kathleen Fowler, PT

  • Physical Therapist
  • Millburn, NJ
  • NPI 1952595415
  NPD
• Thomas McCallum

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1225556277
  NPD
• Tara Otterbein

  • Physical Therapist
  • Paramus, NJ
  • NPI 1174916597
  NPD
• Ryan Wysocki

  • Occupational Therapist
  • River Edge, NJ
  • NPI 1245780832
  NPD

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1508397928",
    "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": "7 CEDAR GROVE LN",
            "address_2": "SUITE 39",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-469-5681",
            "fax_number": "732-868-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "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": "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": []
}

• Princeton Neuromuscular Center, PC
• Princeton Procure Management, LLC
• Priority Medical Care
• Susan B Pristas, OT CHT
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Progressive Family Services, LLC
• Ann Promise, NP
• Prompt Health Care
• Courtney Puccio, MS, BCBA

• Occupational Therapist in Somerset, NJ
• Providers in Somerset, 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 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.

Verify at the official NPI Registry.