Active NPI
PRN Physical and Occupational Therapy
- Hand Occupational Therapist
- Forest Hills, NY
National Provider Identifier
1750312237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 007731-1
- Legal business name
- PRN PHYSICAL AND OCCUPATIONAL THERAPY
- Practice address
- 9610 Metropolitan Ave
Forest Hills, NY 11375-6625 - Phone
- (718) 286-3877
- Fax
- (718) 663-5781
- NPI assigned
- Jul 5, 2006
- 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
- Roger Raymond Berkley Jr., PT
- Title
- President
- Phone
- (631) 467-3700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003194-1 | NY | |
| Hand Occupational Therapist | 225XH1200X | 007731-1 | NY | Primary |
Addresses
Primary practice location
9610 Metropolitan Ave
Forest Hills, NY 11375-6625
Mailing address
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700
National Provider Directory
National Provider Directory- Tax ID family
- PRN Physical and Occupational Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Disabilities Residential Treatment Facility
- Holbrook, NY
- NPI 1942687579
-
- Durable Medical Equipment & Medical Supplies
- Holbrook, NY
- NPI 1558958637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1750312237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 METROPOLITAN AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756625",
"telephone_number": "718-286-3877",
"fax_number": "718-663-5781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRN PHYSICAL AND OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BERKLEY",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-467-3700",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "003194-1",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "007731-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.