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

Professional Occupational & Physical Therapy, PLLC

Organization Physical Therapist · NPI 1033902366

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Northport, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

1014 Fort Salonga Rd Ste 4
Northport, NY 11768-2273
Phone: (631) 651-7300
Fax: (631) 651-7309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1033902366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Manager Of Credentialing · (631) 359-5805
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address576 Broadhollow Rd, Melville, NY 11747-5012

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