Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

300 Route 17
Mahwah, NJ 07430-2141

Phone

(201) 529-8322

Fax

(201) 529-8377

NPI assigned

Oct 5, 2016

Last updated

Mar 29, 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 NJ

Enrollment records 1

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.

• Jeff Grinkovitch, MPT

  • Orthopedic Physical Therapist
  • Dumont, NJ
  • NPI 1447348990
  NPD
• Christopher Lands, DPT

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1013499037
  NPD
• Purvang S Kapadia, PT, MS

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1760776637
  NPD

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1790235505",
    "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": "300 ROUTE 17",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302141",
            "telephone_number": "201-529-8322",
            "fax_number": "201-529-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2018-03-29",
        "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": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce J Pines, D.D.S.
• Ryan Marc Pines, DDS
• Nicole Potenza
• Practx Medical Solutions, LLC
• Premise Health of New Jersey Medical PC (Lithia Motors - Mahwah)
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Peter J Raia Jr., RPH
• Deepika Rajagopalan
• Ranjini Rajan
• Ramic Mahwah, LLC

• Occupational Therapist in Mahwah, NJ
• Providers in Mahwah, 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 29, 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.