PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI# 1497284566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497284566 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC |
| Practice Address |
94 W Main St Bay Shore NY 11706-8365 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 6316479124 |
| Practice Fax Number | 6316479128 |
| Mailing Telephone | 6313595859 |
| Mailing Fax Number | 6313960865 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | KATHLEEN 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 |
94 W MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035200 | Fernando Edgardo Beltran Jr. | Social Worker | 94 W Main St, Bay Shore, NY 11706-8365 | 2020-08-28 |
| 1902328214 | Lori Kloiber-staco | Occupational Therapist | 94 W Main St, Bay Shore, NY 11706-8365 | 2017-07-10 |
| 1396274460 | Professional Orthopedic and Sports Physical Therapy, PC | Physical Therapist | 94 W Main St, Bay Shore, NY 11706-8365 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1760091219 | Morgan Rose Donovan | Occupational Therapist | 56 7th St, Bay Shore, NY 11706-7537 | 2020-07-29 |
| 1669026399 | Stephanie Rapp | Occupational Therapist | 294 Pennsylvania Ave, Bay Shore, NY 11706-3323 | 2019-07-31 |
| 1679021901 | Elizabeth Sara Curney | Occupational Therapist | 1329 Elayne Ave, Bay Shore, NY 11706-5112 | 2016-09-15 |
| 1720423494 | Alejandra Alejandra Miranda | Occupational Therapist | 1314 5th Ave, Unit 1325, Bay Shore, NY 11706 | 2013-05-07 |
| 1992071443 | Lynda Lee Uhl | Occupational Therapist | 1415 E. Third Ave., Mary G Clarksop Elementary School, Bay Shore, NY 11706-4221 | 2012-03-29 |
| 1144514795 | Rita Desimone | Occupational Therapist | 78 West Ln, Bay Shore, NY 11706-8616 | 2011-05-31 |
| 1497948921 | Tracey Hudson | Occupational Therapist | 10 East Garfield Street, Apt 2a, Bay Shore, NY 11706 | 2007-08-17 |
| 1356547954 | Kelda Seraphine Zepherin | Occupational Therapist | 31 Tillie St, Bay Shore, NY 11706-6945 | 2007-06-21 |
| 1124248117 | Michael James Flynn | Occupational Therapist | 1432 Brooklyn Blvd, Bay Shore, NY 11706-4015 | 2007-05-01 |
| 1649318502 | Lisa Marie Vintaloro | Occupational Therapist | 885 Hampshire Rd, Bay Shore, NY 11706-7631 | 2007-02-02 |
| Find all providers in BAY SHORE | ||||
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.