PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC


Address: 599 Gramatan Ave Ste 205, Fleetwood, NY 10552
Phone: 9143711990

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI# 1194216135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194216135
Entity Type Organization
Organization Name PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Practice Address 599 Gramatan Ave Ste 205
Fleetwood
NY 10552
Mailing Address 576 Broadhollow Rd
Melville
NY 11747-5002
Practice Telephone 9143711990
Practice Fax Number 9143717588
Mailing Telephone 6313595859
Mailing Fax Number 6313960865
Enumeration Date 2018-05-25
Last Update Date 2018-05-30
Authorized Official Name KATHLEEN BRUSH (CREDENTIALING MANAGER)
Authorized Official Telephone 6313595805
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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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

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC 576 Broadhollow Rd, Melville, New York 11747

Office Location

Street Address 599 GRAMATAN AVE STE 205
City FLEETWOOD
State NY
Zip Code 10552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598256539 Professional Orthopedic and Sports Physical Therapy PC Clinic/Center 599 Gramatan Ave Ste 205, Fleetwood, NY 10552 2018-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013541119 Dawson Service Solution LLC In Home Supportive Care Sheridan Avenue, Mount Vernon, NY 10552 2020-02-27
1821648908 Yvonne Euretta Thorpe-roswell Technician 457 North Columbus Avenue, Mount Vernon, NY 10552 2019-09-19
1346770096 Tina Earle Registered Nurse 544 North Terrace Ave, Mt. Vernon, NY 10552 2017-06-15
1598200867 Vivienne Iona Bartley Nurse Practitioner 115 Primrose Avenue, Mount Vernon, NY 10552 2016-12-22
1447702014 Ilone Bajjo Nurse Practitioner 6 Lenox Ave, Mt. Vernon, NY 10552 2016-10-31
1023561578 Angella D Brown Registered Nurse 180 Pearsole Drive, Apt D1e, Mt Vernon, NY 10552 2016-08-02
1053789479 Julinnis Morales Occupational Therapist 72 Lexington Ave, Mount Vernon, NY 10552 2015-09-02
1053788760 Kadisha Currie Early Intervention Provider Agency 161 Pearsall Drive 4d, Mount Vernon, NY 10552 2015-08-28
1679969968 Nisha Murray Behavioral Analyst 21 W Devonia Ave, Mount Vernon, NY 10552 2015-04-13
1609278431 Lindsay Grossman Social Worker 669 N Terrace Ave Apt 28, Mount Vernon, NY 10552 2014-09-24
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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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1912532706 Island One Occupational Therapy, PC Clinic/Center 2769 Coney Island Ave Ste 1b, Brooklyn, NY 11235-5051 2020-03-11
1831656107 Natavin Service Inc Clinic/Center 568 74th St Fl 2, Brooklyn, NY 11209-2614 2019-02-22
1093250821 Eye To Eye Optical Center Clinic/Center 88 S 6th St, Brooklyn, NY 11249-6028 2017-01-03
1447794458 Buffalo Ergonomics Ot Services, Pllc Clinic/Center 235 Highland Pkwy, Tonawanda, NY 14223-1407 2016-12-09
1154772697 Rochester Medicine, Pllc Clinic/Center 2745 W Ridge Rd, Greece, NY 14626-3038 2016-06-27
1427493113 Icahn School of Medicine At Mount Sinai Clinic/Center 1468 Madison Ave Fl 3, New York, NY 10029-6508 2013-05-08
1992082564 Olga Gomez Inc Clinic/Center 334 41st St, Brooklyn, NY 11232-3504 2011-11-10
1184929903 The Medical Offices of Occupational Health Resources Prof Corp Clinic/Center 1 New York Times Plz, Flushing, NY 11354-1200 2011-01-26
1053627927 United Nations Medical Services Division Clinic/Center 405 East 42nd Street, Medical Services Division, New York, NY 10017 2010-08-30
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Competitor

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City FLEETWOOD
Zip Code 10552

Improve Information

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Dataset Information

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.

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