PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI# 1275083842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083842 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC |
| Practice Address |
309 E Middle Country Rd Ste 202 Smithtown NY 11787-2844 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 6316565665 |
| Practice Fax Number | 6316565664 |
| Mailing Telephone | 7188196805 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | KATHLEEN STRATTON (CREDENTIALING COORDINATOR MANAGER) |
| Authorized Official Telephone | 7188196805 |
| 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 |
309 E MIDDLE COUNTRY RD STE 202 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366511776 | Juliet L Steele | Physical Therapist | 309 E Middle Country Rd Ste 202, Smithtown, NY 11787-2844 | 2006-11-07 |
| 1841807427 | Michael Mattera | Physical Therapist | 309 E Middle Country Rd Ste 202, Smithtown, NY 11787-2844 | 2020-09-28 |
| 1467001222 | Jesse Donaldson-hawkins | Physical Therapy Assistant | 309 E Middle Country Rd Ste 202, Smithtown, NY 11787-2844 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| 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 |
|---|---|---|---|---|
| 1013485309 | Alyssa Mangieri | Occupational Therapist | 391 N Country Rd, Smithtown, NY 11787-2069 | 2018-11-05 |
| 1295201838 | Carly Shea | Occupational Therapist | 293 Rose Ln, Smithtown, NY 11787-4417 | 2018-10-22 |
| 1326444852 | Stephenie Gobris | Occupational Therapist | 1 Overhill Dr, Smithtown, NY 11787-1528 | 2014-11-11 |
| 1750675344 | Danielle Rose Krayewski | Occupational Therapist | 6 Grassy Ln, Smithtown, NY 11787-4936 | 2011-06-01 |
| 1891000931 | Gretchen B. Wiener | Occupational Therapist | 68 New Mill Rd, Smithtown, NY 11787-3350 | 2010-08-12 |
| 1679713895 | Susan M Quintin | Occupational Therapist | 5 Northside Cir, Smithtown, NY 11787-8101 | 2009-02-27 |
| 1831347004 | Cynthia C. Zenner-rubesh | Occupational Therapist | 46 Hallock Ave, Smithtown, NY 11787-3836 | 2008-08-30 |
| 1356564926 | Gary Wynn | Occupational Therapist | 88 Ledgewood Dr, Smithtown, NY 11787-4247 | 2007-04-11 |
| 1639213499 | Rita Johnstone-lyons | Occupational Therapist | 16 Dana Ln, Smithtown, NY 11787-2313 | 2007-02-16 |
| 1841345154 | Ivonne Nikirk | Occupational Therapist | 164 Hickory Ln, Smithtown, NY 11787-4429 | 2007-01-24 |
| Find all providers in SMITHTOWN | ||||
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.