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

Clins Puthussery Varghese

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1275400889

Clins Puthussery Varghese is an Occupational Therapist in Private Practice in Bayside, New York. Qualified in 2024, 2 years ago. Practices with Physical Therapy Doctor, PC, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

21273 26th Ave
Bayside, NY 11360-1943
Phone: (718) 747-2019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 029972 (NY)

Record details

NPI number1275400889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESNovember 2, 2025
Certification dateNovember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Physical Therapy Doctor,P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bayside