Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Origins Integrative Occupational Therapy PLLC

Organization Rehabilitation Clinic/Center · NPI 1639944705

Origins Integrative Occupational Therapy PLLC is a Rehabilitation Clinic/Center in Bayside, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21343 35th Ave Fl 2
Bayside, NY 11361-1750
Phone: (631) 252-8167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X

Record details

NPI number1639944705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Rosenboom — Ceo · (631) 252-8167
Other names Life Lifters Health Occupational Therapy
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 19, 2023
Mailing address111 New York Ave, Sound Beach, NY 11789-2250

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