Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Professional Occupational & Physical Therapy, Pllc

Occupational Therapist in Randolph, NJ · enumerated 2016 · authorized official Kathllen Brush, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104376680

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Registry record

Entity type Organization (Type 2)

Legal business name Professional Occupational & Physical Therapy, Pllc

Practice address 390 State Route 10 Ste 202, Randolph, NJ, 07869

Phone (973) 895-9925

Fax (973) 895-9927

Enumeration date Oct 10, 2016

Last updated in NPPES Apr 23, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Kathllen Brush

Title Credentialing Manager

Phone (631) 359-5859

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Professional Occupational & Physical Therapy, Pllc located?

The practice location on file with NPPES is in Randolph, NJ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-04-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-23.