Provident Physical and Occupational Therapy PLLC
NPI 1144742479 · Physical Therapist · East Northport, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provident Physical and Occupational Therapy PLLC is a Physical Therapist organization in East Northport, NY (NPI 1144742479).
Provider details
- NPI number
- 1144742479
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Steven Desousa, Owner/ PT(631) 266-4501
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-07
- Last updated
- 2017-07-07
Frequently asked questions
- What is Provident Physical and Occupational Therapy PLLC's NPI number?
- Provident Physical and Occupational Therapy PLLC's National Provider Identifier (NPI) is 1144742479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Physical and Occupational Therapy PLLC?
- Provident Physical and Occupational Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Provident Physical and Occupational Therapy PLLC located?
- Provident Physical and Occupational Therapy PLLC's practice location on file with NPPES is 554 Larkfield Rd Ste 207, East Northport, NY 11731-4205.
- What is Provident Physical and Occupational Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Provident Physical and Occupational Therapy PLLC is (631) 266-4501.
- Does Provident Physical and Occupational Therapy PLLC accept Medicare?
- Provident Physical and Occupational Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Provident Physical and Occupational Therapy PLLC?
- The authorized official listed on Provident Physical and Occupational Therapy PLLC's NPPES record is Steven Desousa, Owner/ PT. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Physical and Occupational Therapy PLLC's NPI active?
- Yes — Provident Physical and Occupational Therapy PLLC's NPI (1144742479) is active in the NPPES registry as of the last update on 2017-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.