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

Organization Physical Therapist · NPI 1497284566

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Bay Shore, New York. Registered with an NPI since 2017.

In the registry since
2017
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

94 W Main St
Bay Shore, NY 11706-8365
Phone: (631) 647-9124
Fax: (631) 647-9128
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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 number1497284566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedJune 12, 2017
Last updated in NPPESApril 2, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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