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Professional Occupational & Physical Therapy, Pllc

Physical Therapist in Port Jefferson, NY · enumerated 2016 · authorized official Kathleen Brush, Credentialing Manager.

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

National Provider Identifier

1649631680

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Occupational & Physical Therapy, Pllc
Practice address 70 N Country Rd, Port Jefferson, NY, 11777
Fax (631) 331-2392
Enumeration date Mar 18, 2016
Last updated in NPPES Mar 28, 2018

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Kathleen Brush
Title Credentialing Manager

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.

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Frequently asked questions

Where is Professional Occupational & Physical Therapy, Pllc located?
The practice location on file with NPPES is in Port Jefferson, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-28.