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 1578013231

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Wading River, New York. 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

6144 Route 25A Ste 16-17
Wading River, NY 11792-2018
Phone: (631) 929-3277
Fax: (631) 929-3304
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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 number1578013231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (718) 819-6805
NPI enumeratedOctober 6, 2016
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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