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 1649631680

Professional Occupational & Physical Therapy, PLLC is a Physical Therapist in Port Jefferson, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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

70 N Country Rd
Port Jefferson, NY 11777-2161
Phone: (631) 331-3608
Fax: (631) 331-2392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1649631680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Credentialing Manager · (718) 819-6805
NPI enumeratedMarch 18, 2016
Last updated in NPPESMarch 28, 2018
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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