PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
NPI 1073045233
Occupational Therapist in West Orange, NJ

Active since March 28, 2017
405 NORTHFIELD AVE, SUITE LL1, WEST ORANGE, NJ 07052(973) 731-1950(973) 731-1242 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2018, Jan 16, 2018, Mar 28, 2017 (3 updates tracked since 2017).

About Professional Occupational & Physical Therapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC (NPI 1073045233) is a healthcare organization registered as an occupational therapist in West Orange, New Jersey and active in the NPI registry since March 2017. The organization lists Kathleen Brush, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1073045233
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NamePROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Location Address405 NORTHFIELD AVE, SUITE LL1West Orange, NJ 07052-3026
Mailing Address576 Broadhollow RdMelville, NY 11747-5002 · (631) 359-5859 · Fax (631) 396-0865
Fax(973) 731-1242
Organization SubpartNo
Authorized OfficialKathleen BrushCredentialing Manager · (631) 359-5859
Enumeration DateMarch 28, 2017
Last NPPES UpdateMarch 27, 20183 updates tracked since enumeration
✔ NPI 1073045233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedPhysical TherapistTaxonomy 225100000X
405 NORTHFIELD AVE, West Orange, NJ 07052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Occupational & Physical Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20180222000244DME · Independently-Practicing Occupational TherapistDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

306

Medicare enrollment records show 306 clinicians reassign Medicare billing to Professional Occupational & Physical Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 98 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice252
Occupational Therapist in Private Practice54

Nearest to this location (20)

See all 306
Physical Therapist in Private Practice
NPI 1942309026
1500 PLEASANT VALLEY WAY SUITE 102
West Orange, NJ 07052
(973) 325-3422
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1245880756
1500 PLEASANT VALLEY WAY
West Orange, NJ 07052
(973) 325-3422
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1548762024
1500 PLEASANT VALLEY WAY
West Orange, NJ 07052
(973) 324-3422
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1770592305
1500 PLEASANT VALLEY WAY SUITE 102
West Orange, NJ 07052
(973) 325-3422
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1942533187
99 NORTHFIELD AVE
West Orange, NJ 07052
(973) 736-1090
✔ Accepts Medicare1.2 mi
Occupational Therapist in Private Practice
NPI 1568250157
161 MAIN ST STE 150
West Orange, NJ 07052
(862) 335-0200
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1174357420
301 S LIVINGSTON AVE STE 105
Livingston, NJ 07039
(862) 308-1144
✔ Accepts Medicare2.5 mi
Physical Therapist in Private Practice
NPI 1922999747
301 S LIVINGSTON AVE STE 105
Livingston, NJ 07039
(862) 746-5338
✔ Accepts Medicare2.5 mi
Physical Therapist in Private Practice
NPI 1275395840
622 EAGLE ROCK AVE
West Orange, NJ 07052
(973) 669-0078
✔ Accepts Medicare2.6 mi
Physical Therapist in Private Practice
NPI 1033830856
187 MILLBURN AVE
Millburn, NJ 07041
(973) 467-7976
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1710865175
187 MILLBURN AVE
Millburn, NJ 07041
(973) 467-7976
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1790392231
187 MILLBURN AVE
Millburn, NJ 07041
(973) 467-7976
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1801995998
161 MILLBURN AVE
Millburn, NJ 07041
(973) 376-7100
✔ Accepts Medicare3.8 mi
Occupational Therapist in Private Practice
NPI 1649124561
691 BLOOMFIELD AVE
Montclair, NJ 07042
(973) 893-5082
✔ Accepts Medicare3.9 mi
Occupational Therapist in Private Practice
NPI 1740071851
691 BLOOMFIELD AVE
Montclair, NJ 07042
(973) 893-5082
✔ Accepts Medicare3.9 mi
Occupational Therapist in Private Practice
NPI 1902795370
691 BLOOMFIELD AVE
Montclair, NJ 07042
(973) 813-7028
✔ Accepts Medicare3.9 mi
Occupational Therapist in Private Practice
NPI 1447005400
1 GREENWOOD AVE
Montclair, NJ 07042
(973) 746-2424
✔ Accepts Medicare4.1 mi
Occupational Therapist in Private Practice
NPI 1265212443
1 GREENWOOD AVE
Montclair, NJ 07042
(973) 746-2424
✔ Accepts Medicare4.1 mi
Occupational Therapist in Private Practice
NPI 1407454861
1 GREENWOOD AVE
Montclair, NJ 07042
(973) 746-2424
✔ Accepts Medicare4.1 mi
Occupational Therapist in Private Practice
NPI 1780228254
1 GREENWOOD AVE
Montclair, NJ 07042
(973) 746-2424
✔ Accepts Medicare4.1 mi
See all 306 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Occupational & Physical Therapy, PLLC's NPI number?

The NPI number for Professional Occupational & Physical Therapy, PLLC is 1073045233. It was assigned to this organization in the NPPES registry on March 28, 2017.

Where is Professional Occupational & Physical Therapy, PLLC located?

Professional Occupational & Physical Therapy, PLLC is located at 405 Northfield Ave Suite Ll1, West Orange, NJ 07052. The listed phone number is (973) 731-1950.

What is Professional Occupational & Physical Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Professional Occupational & Physical Therapy, PLLC enrolled in Medicare?

Yes. Professional Occupational & Physical Therapy, PLLC is registered in the Medicare PECOS enrollment system.

When is Professional Occupational & Physical Therapy, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Independently-Practicing Occupational Therapist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Professional Occupational & Physical Therapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 306 clinicians in 2 Medicare specialties reassign their Medicare billing to Professional Occupational & Physical Therapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (252) and Occupational Therapist in Private Practice (54). Of these, 98 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Occupational & Physical Therapy, PLLC was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.