Professional Occupational & Physical Therapy, PLLC
Organization Active NPI Occupational Therapist · Glendale, NY
NPI 1831624832 · NPPES record last updated Apr 3, 2018
Key facts
- NPI
- 1831624832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
- Practice address
- 8989 Union Tpke
Glendale, NY 11385-8010 - Phone
- (718) 480-6207
- Fax
- (718) 480-6208
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Kathleen Brush
- Title
- Credentialing Manager
- Phone
- (631) 359-5859
Practitioners 11
-
Michele Aliani, PT,ATC, CSCS
-
Glenn Bitran, MPT
-
Stephanie Bradbury, DPT
-
Richard John Flynn Jr., P.T.
-
Sharon Fong, D.P.T.
-
John Gianfortone, OT
-
Timothy Mauro, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160608000715 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3779873401 |
Receives reassigned benefits from 513 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
8989 Union Tpke
Glendale, NY 11385-8010
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Other providers in Glendale, NY
- Pramukh Drugs Corp
- Tiffany Pressey
- Vanessa A Price
- Prodynamic Care Physical Therapy, PLLC
- Professional Diagnostic Sonography, Inc
- Professional Orthopedic and Sports Physical Therapy, PC
- Proffesional Anesthesia Physician, P.C.
- Promet Physical Therapy PC
- Prominis Care Ipa, LLC
- Milagros de Jesus Puelles Adriazola
All providers in Glendale, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.