Provident Physical and Occupational Therapy PLLC
NPI 1144742479ActiveOrganization· Physical Therapist· East Northport, NY
Physical Therapist in East Northport, New York, registered in NPPES in July 2017. The authorized official on file is Steven C. Desousa, PT, DPT, MA, OCS, Owner/ Pt. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1144742479 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2017 |
| Last updated in NPPES | Jul 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | NY |
| Occupational Therapist | 225X00000X | — | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY) |
|---|
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