Professional Occupational & Physical Therapy, PLLC
NPI 1649631680ActiveOrganization· Physical Therapist· Port Jefferson, NY
Physical Therapist in Port Jefferson, New York, registered in NPPES in March 2016. The authorized official on file is Kathleen Brush, Credentialing Manager. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1649631680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2016 |
| Last updated in NPPES | Mar 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 DME Supplier - Independently-Practicing Physical Therapist (NY) |
|---|
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All 42 physical therapists in Port Jefferson · All physical therapists in New York