Active NPI
Professional Occupational & Physical Therapy, PLLC
- Occupational Therapist
- White Plains, NY
National Provider Identifier
1912457722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
- Practice address
- 100 Main St
Unit 113a
White Plains, NY 10601-2601 - Phone
- (914) 948-3893
- Fax
- (914) 948-5276
- NPI assigned
- Oct 5, 2016
- Last updated
- Mar 29, 2018
- 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
- Kathleen Stratton
- Title
- Credentialing Coordinator Manager
- Phone
- (718) 819-6805
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
100 Main St
Unit 113a
White Plains, NY 10601-2601
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (718) 819-6805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| 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
National Provider DirectoryLocations
100 Main St
Unit 113A
White Plains, NY 10601
Phone (914) 948-3893
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Bronx, NY
- NPI 1043985872
-
- Physical Therapist
- Riverhead, NY
- NPI 1134810757
NPI Registry JSON
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": "1912457722",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN ST",
"address_2": "UNIT 113A",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012601",
"telephone_number": "914-948-3893",
"fax_number": "914-948-5276"
}
],
"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": []
}
Other providers in White Plains, NY
- Manuel Prisciandaro, D.C.
- Jessica Prizer
- Professional Anesthesiologists of Greater New York PC
- Professional Medical Services of Westchester PC
- Professional Occupational & Physical Therapy, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy PC
- Prohealth Dental PLLC (WestDental)
- Propath Services, LLC
- Wendy A. Proskin, MD
Sources for this page
- 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.