PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI# 1821548306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821548306 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC |
| Practice Address |
1325 Warren Ave Spring Lake NJ 07762-2566 |
| Mailing Address |
576 Broadhollow Rd Melville NY 11747-5002 |
| Practice Telephone | 7324497855 |
| Practice Fax Number | 7324497856 |
| Mailing Telephone | 6313595859 |
| Mailing Fax Number | 6313960865 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-03-29 |
| 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 |
1325 WARREN AVE |
| City | SPRING LAKE |
| State | NJ |
| Zip Code | 07762-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255363255 | Brian Scott Simon | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2006-07-07 |
| 1598246118 | Shawna Poltricitsky | Physical Medicine & Rehabilitation | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2018-08-22 |
| 1780130567 | Professional Orthopedic and Sports Physical Therapy of Nj, LLC | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2016-08-31 |
| 1932524667 | Brian Brateris | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2014-03-05 |
| 1962743930 | Timothy James Harris | Physical Therapist | 1325 Warren Ave, Spring Lake, NJ 07762-2566 | 2013-03-15 |
| 1346553807 | Dustin C Fullaway | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2010-07-26 |
| 1205902129 | Michael Edward Rothman | Family Medicine | 1325 Warren Ave, Ste 6, Spring Lake, NJ 07762-2567 | 2006-11-24 |
| 1942227400 | Eileen Gurgone | Physical Therapist | 1325 Warren Ave, Suite 5, Spring Lake, NJ 07762-2566 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700214723 | Stefanie Granzin | Marriage & Family Therapist | 10 Devon Court, Spring Lake, NJ 07762 | 2013-10-30 |
| 1770747610 | Mariela J Pazos | Veterinarian | 410 Essex Ave, Spring Lake, NJ 07762 | 2008-07-10 |
| 1033384730 | Nicholas F Graziano | Dentist | 101 Rt 46 West, Saddlebrook, NJ 07762 | 2008-04-24 |
| 1427187475 | Jennifer Easton Slovak | Social Worker | 712 Wall Road, Spring Lake Heights, NJ 07762 | 2007-03-05 |
| 1265527014 | John Paul Vetovick | Dentist | 2028 Hwy 71, Spring Lake Hts, NJ 07762 | 2006-10-04 |
| 1780778357 | John Charles | Marriage & Family Therapist | 1405 Third Ave, Spring Lake, NJ 07762 | 2006-10-03 |
| 1922036367 | Phillip J Lobuono | Dermatology | 211 Highway 71, Spring Lake Heights, NJ 07762 | 2006-06-28 |
| 1962448035 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2006 State Highway 35, Springlake, NJ 07762 | 2006-06-20 |
| 1235107269 | Joseph A Duddy IIi | Dentist | 1010 Highway 71, Spring Lake Heights, NJ 07762 | 2006-03-08 |
| 1730153321 | Paul A Pardon | Internal Medicine | 512 Warren Ave., Spring Lake, NJ 07762 | 2006-02-13 |
| Find all providers in zip 07762 | ||||
| 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 |
|---|---|---|---|---|
| 1437706496 | Kayla Ann King | Occupational Therapist | 17387 Greenspire Dr, Spring Lake, MI 49456-9563 | 2019-08-23 |
| 1720643547 | Jennifer Lynn O'leary | Occupational Therapist | 103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319 | 2019-05-07 |
| 1114279882 | Helen Cecile Rowe | Occupational Therapist | 18557 Tomahawk Ct., Spring Lake, MI 49456-9498 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861289 | Elysa I Levy | Occupational Therapist | 51 Locust Ln, Upper Saddle River, NJ 07458-2142 | 2020-11-07 |
| 1780285528 | Madeline Rose Vazquez | Occupational Therapist | 26 Tottenham Ct, Jersey City, NJ 07305-5502 | 2020-11-06 |
| 1083215040 | Yifat Kedar | Occupational Therapist | 24 Tremont Ter, Livingston, NJ 07039-3218 | 2020-11-05 |
| 1356942502 | Sharon Clare Mcgeady | Occupational Therapist | 76 Garboski Rd, Stockton, NJ 08559-1925 | 2020-11-04 |
| 1174124515 | Yitzchok Markovitz | Occupational Therapist | 96 Seminole Dr, Lakewood, NJ 08701-1152 | 2020-11-03 |
| 1528669835 | Malya Glatter | Occupational Therapist | 312 Churchill Rd, Teaneck, NJ 07666-3007 | 2020-11-03 |
| 1922609239 | Jordan Louise Gethings | Occupational Therapist | 827 Garden St Apt 1, Hoboken, NJ 07030-4108 | 2020-11-03 |
| 1689275240 | Alyssa Cohen | Occupational Therapist | 100 Kirkpatrick St, New Brunswick, NJ 08901-4070 | 2020-11-02 |
| 1477153732 | Laurie Ann Pino | Occupational Therapist | 900 Route 9 N Ste 410, Woodbridge, NJ 07095-1003 | 2020-10-27 |
| 1952900193 | Esther Schachner | Occupational Therapist | 5 Amsterdam Ave, Passaic, NJ 07055-3306 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 07762 |
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| 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.