Professional Occupational & Physical Therapy, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Practice address

1290 Summer St Ste 2000
Stamford, CT 06905-5360

Phone

(203) 307-4600

Fax

(203) 307-4601

NPI assigned

Oct 7, 2016

Last updated

Mar 22, 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 Brush

Title

Credentialing Manager

Phone

(631) 359-5859

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Southport, CT
  • NPI 1073063574

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Norwalk, CT
  • NPI 1073063723

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Ridgefield, CT
  • NPI 1134679699

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Darien, CT
  • NPI 1629528120

  O20170111002415

  Same enrollment
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  O20170111002415

  Same enrollment

Tax ID family

Prof Occptnl Phyl Thpy119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Southport, CT
  • NPI 1073063574
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Norwalk, CT
  • NPI 1073063723
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Ridgefield, CT
  • NPI 1134679699
  NPD tax ID
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Darien, CT
  • NPI 1629528120
  NPD tax ID

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.

• Patrick Maybury

  • Physical Therapist
  • Wilton, CT
  • NPI 1689187114
  NPD
• Navah Zizmor, DPT

  • Physical Therapist
  • Stamford, CT
  • NPI 1356572531
  NPD

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1972053478",
    "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": "631-359-5859",
            "fax_number": "631-396-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SUMMER ST STE 2000",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055360",
            "telephone_number": "203-307-4600",
            "fax_number": "203-307-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-359-5859"
    },
    "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": []
}

• Yevgeniy Printsev, M.D.
• Elizabeth Prior, LCSW
• Priscilla Xu MD LLC
• Gavin R Pritchard, RD, CDE
• Pro-Vision, Inc. (Cohen's Fashion Optical)
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Therapy Contracting Services of CT, LLC
• Professional Therapy Contracting Servies of CT, LLC
• Progressivision PC

• Occupational Therapist in Stamford, CT
• Providers in Stamford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.