OrganizationActive
Professional Occupational & Physical Therapy, PLLC
NPI 1194216135 · Occupational Medicine Clinic/Center · Fleetwood, NY
Provider details
- NPI number
- 1194216135
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Brush, Credentialing Manager(631) 359-5805
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
599 Gramatan Ave Ste 205
Fleetwood, NY 10552
Phone: (914) 371-1990
Fax: (914) 371-7588
Approximate (ZIP-level) locationGet directions
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Registry dates
- Enumerated
- 2018-05-25
- Last updated
- 2018-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.