Active NPI
Robert Wilutis Occupational and Physical Therapy, PLLC
- Durable Medical Equipment & Medical Supplies
- Medford, NY
National Provider Identifier
1821273301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 008737
- Legal business name
- ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC
- Practice address
- 1733 A North Ocean Ave
Medford, NY 11763 - Phone
- (631) 331-3608
- Fax
- (631) 331-2392
- NPI assigned
- Jan 3, 2008
- 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
- Robert S Wilutis, OTR CHT
- Title
- Owner
- Phone
- (631) 331-3608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 008737 | NY | Primary |
Addresses
Primary practice location
1733 A North Ocean Ave
Medford, NY 11763
Mailing address
635 Belle Terre Rd
Suite 105
Port Jefferson, NY 11777
Phone (631) 331-3608
National Provider Directory
National Provider DirectoryLocations
70 N Country Rd
Ste 103
Prt Jefferson, NY 11777
Phone (631) 331-3608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1821273301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD",
"address_2": "SUITE 105",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "11777",
"telephone_number": "631-331-3608",
"fax_number": "631-331-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 A NORTH OCEAN AVE",
"city": "MEDFORD",
"state": "NY",
"postal_code": "11763",
"telephone_number": "631-331-3608",
"fax_number": "631-331-2392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-03",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "WILUTIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-331-3608",
"authorized_official_credential": "OTR CHT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "008737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.