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Professional Occupational & Physical Therapy, PLLC

NPI 1578013231ActiveOrganization· Occupational Therapist· Wading River, NY

Occupational Therapist in Wading River, New York, registered in NPPES in October 2016. The authorized official on file is Kathleen Brush, Credentialing Manager. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.

Overview

NPI1578013231
StatusActive
Entity typeOrganization
NPI issuedOct 6, 2016
Last updated in NPPESJun 2, 2025
Certified by providerJun 2, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X——
Physical Therapist225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Independently-Practicing Physical Therapist (NY)

Medicare sources and data years

Other Occupational Therapist providers in Wading River

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