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 1629517206

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Ridgewood, New Jersey. 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

85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone: (201) 857-5396
Fax: (201) 857-5398
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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 number1629517206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (631) 359-5859
NPI enumeratedFebruary 16, 2017
Last updated in NPPESMarch 28, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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