Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

755 New York Ave Ste 106
Huntington, NY 11743-4240

Phone

(631) 351-7676

Fax

(631) 351-7667

NPI assigned

Oct 7, 2016

Last updated

Mar 30, 2018By 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

Kathleen Stratton

Title

Credentialing Coordinator Manager

Phone

(718) 819-6805

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Ewa Bhola

  • Physical Therapist
  • Copiague, NY
  • NPI 1508983545
  NPD
• Maggie-Mae Cronin

  • Physical Therapist
  • Kew Gardens, NY
  • NPI 1710763115
  NPD
• Alana-Francesca Pajarillo Paz

  • Occupational Therapist
  • New York, NY
  • NPI 1093586729
  NPD

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1720538382",
    "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": "718-819-6805",
            "fax_number": "347-841-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 106",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-351-7676",
            "fax_number": "631-351-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR MANAGER",
        "authorized_official_telephone_number": "718-819-6805"
    },
    "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": []
}

• Nisha Susan Prince-Mattathil, NURSE PRACTITIONER
• Sandra K Prior, R.N.
• Proactive Physical Therapy and Wellness PC
• Gail Probst, NP
• Nicole Marie Probst, NP
• Professional Orthopedic and Sports Physical Therapy PC
• Prohealth Care Associates LLP
• Prohealth Care Associates LLP
• Prohealth Dental PLLC
• Promotion Physical Therapy, PLLC

• Occupational Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.