PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI# 1104376680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104376680 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC |
| Practice Address |
390 State Route 10 Ste 202 Randolph NJ 07869-2141 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 9738959925 |
| Practice Fax Number | 9738959927 |
| Mailing Telephone | 6313595859 |
| Mailing Fax Number | 6313960865 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-04-23 |
| Authorized Official Name | KATHLLEN BRUSH (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6313595859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348328 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 2 Overhill Rd Ste 330, Scarsdale, NY 10583-5326 | 2020-02-14 |
| 1154982973 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 2035 Lincoln Hwy Ste 1040, Edison, NJ 08817-3351 | 2019-06-24 |
| 1922667336 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 220-05 Hilliside Avenue, C/o Blink, Queens Village, NY 11427-2033 | 2019-06-10 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1053812214 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 137 Main Rd Fl 2, Montville, NJ 07045-9231 | 2018-02-23 |
| 1417467606 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 970 N Broadway Ste 204, Yonkers, NY 10701-1310 | 2017-10-03 |
| 1679099071 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 475 N Bridge St Ste 102, Bridgewater, NJ 08807-2153 | 2017-08-17 |
| 1124543350 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 185 Kisco Ave Ste 203, Mount Kisco, NY 10549-1409 | 2017-08-09 |
| 1578093100 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 1465 Broadway, Hewlett, NY 11557-1426 | 2017-06-15 |
| 1508317835 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 2162 Broadway Fl 2, New York, NY 10024-6620 | 2016-10-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC | 576 Broadhollow Rd, Melville, New York 11747 |
| Street Address |
390 STATE ROUTE 10 STE 202 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528340 | Leah Robin Radman | Occupational Therapist | 1948 270th St E, Randolph, MN 55065-9515 | 2018-08-20 |
| 1932691052 | Nicholas A Mills | Occupational Therapist | 121 Center Grove Rd Ste 8, Randolph, NJ 07869-4453 | 2018-06-04 |
| 1124479878 | Kristen Olwell | Occupational Therapist | 68 Musiker Ave, Randolph, NJ 07869-4610 | 2016-06-23 |
| 1285092676 | Krystal Trask | Occupational Therapist | 4 Franklin St Apt 2, Randolph, VT 05060-1178 | 2016-02-01 |
| 1669868808 | Hoan Nguyen | Occupational Therapist | 14 Lavally Rd, Randolph, MA 02368-2010 | 2015-04-14 |
| 1245646645 | Rebecca Yelle | Occupational Therapist | 509 Williams St, Randolph, WI 53956-1122 | 2014-07-07 |
| 1578974804 | Mangal R Jambhekar | Occupational Therapist | 1 Lori Ln, Randolph, MA 02368-5243 | 2014-05-08 |
| 1346560521 | Scott Cullen Wilson | Occupational Therapist | 36 Wilkinson Rd, Randolph, NJ 07869-3470 | 2010-06-10 |
| 1437389491 | Debra Joyce Biarsky-karros | Occupational Therapist | 43 Carrell Rd, Randolph, NJ 07869-2953 | 2009-07-23 |
| 1376709956 | Stephanie Marie Prorok | Occupational Therapist | 287 Chestnut W, Randolph, MA 02368-2371 | 2008-08-01 |
| Find all providers in RANDOLPH | ||||
Please comment or provide details below to improve the information on PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.