Professional Occupational & Physical Therapy, PLLC
NPI 1649631680 · Physical Therapist · Port Jefferson, NY
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Occupational & Physical Therapy, PLLC is a Physical Therapist organization in Port Jefferson, NY (NPI 1649631680).
Provider details
- NPI number
- 1649631680
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kathleen Brush, Credentialing Manager(718) 819-6805
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2016-03-18
- Last updated
- 2018-03-28
Frequently asked questions
- What is Professional Occupational & Physical Therapy, PLLC's NPI number?
- Professional Occupational & Physical Therapy, PLLC's National Provider Identifier (NPI) is 1649631680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Occupational & Physical Therapy, PLLC?
- Professional Occupational & Physical Therapy, PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Professional Occupational & Physical Therapy, PLLC located?
- Professional Occupational & Physical Therapy, PLLC's practice location on file with NPPES is 70 N Country Rd, Port Jefferson, NY 11777-2161.
- What is Professional Occupational & Physical Therapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Occupational & Physical Therapy, PLLC is (631) 331-3608.
- Does Professional Occupational & Physical Therapy, PLLC accept Medicare?
- Professional Occupational & Physical 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 Professional Occupational & Physical Therapy, PLLC?
- The authorized official listed on Professional Occupational & Physical Therapy, PLLC's NPPES record is Kathleen Brush, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Occupational & Physical Therapy, PLLC's NPI active?
- Yes — Professional Occupational & Physical Therapy, PLLC's NPI (1649631680) is active in the NPPES registry as of the last update on 2018-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.