PRN Physical, Occupational and Speech Therapy Network, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC

Practice address

20 Peachtree CT Ste 105
Holbrook, NY 11741-4616

Phone

(631) 467-3700

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Randall A Weston

Title

Ceo

Phone

(631) 467-3700

Specialties & licenses 1

Addresses

Tax ID family

PRN Physical and Occupational Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• PRN Physical & Occupational Therapy Network

  • Physical Disabilities Residential Treatment Facility
  • Holbrook, NY
  • NPI 1942687579
  NPD tax ID
• PRN Physical and Occupational Therapy

  • Hand Occupational Therapist
  • Forest Hills, NY
  • NPI 1750312237
  NPD tax ID

Locations

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1558958637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT STE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT STE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY NETWORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-467-3700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Patricia Porcello, RN
• Scott R Poretsky
• Paul David Priolo, DC
• PRN Physical & Occupational Therapy Network
• PRN Physical Therapy PC
• Professional Occupational & Physical Therapy, PLLC
• Tatyana Prusakova
• Kimberly Ann Pulitano, SLP
• Christa Leamar Nograles Querubin, PT
• Laurance Anne Raio, MS PSYCHOLOGY

• Durable Medical Equipment & Medical Supplies in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.