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 1104376680

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Randolph, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
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

390 State Route 10 Ste 202
Randolph, NJ 07869-2141
Phone: (973) 895-9925
Fax: (973) 895-9927
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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 number1104376680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathllen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedOctober 10, 2016
Last updated in NPPESApril 23, 2019
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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