Professional Occupational & Physical Therapy, PLLC
NPI 1205385499ActiveOrganization· Occupational Therapist· Montclair, NJ
Occupational Therapist in Montclair, New Jersey, registered in NPPES in September 2016. The authorized official on file is Kathleen Brush, Credentialing Coordinator Manager. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1205385499 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 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 DME Supplier - Independently-Practicing Physical Therapist (NJ) |
|---|
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