Professional Occupational & Physical Therapy, PLLC
NPI 1205296902ActiveOrganization· Occupational Therapist· Rockville Centre, NY
Occupational Therapist in Rockville Centre, New York, registered in NPPES in February 2016. The authorized official on file is Kathleen Brush, Credentialing Coordinator Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1205296902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2016 |
| Last updated in NPPES | Mar 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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