Professional Occupational & Physical Therapy, PLLC
NPI 1679023139ActiveOrganization· Occupational Therapist· Hicksville, NY
Occupational Therapist in Hicksville, 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
| NPI | 1679023139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2016 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Physical Therapist | 225100000X | — | — |
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 (NY) |
|---|
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