PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
NPI 1073063731
Occupational Therapist in Port Jefferson Station, NY

Active since October 06, 2016
5380 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 474-4096(631) 474-5299 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1073063731) is a healthcare organization registered as an occupational therapist in Port Jefferson Station, New York and active in the NPI registry since October 2016. The organization lists Kathleen Brush, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1073063731
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NamePROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Location Address5380 NESCONSET HWYPort Jefferson Station, NY 11776-2056
Mailing Address576 Broadhollow RdMelville, NY 11747-5002 · (631) 359-5859 · Fax (631) 396-0865
Fax(631) 474-5299
Organization SubpartNo
Authorized OfficialKathleen BrushCredentialing Manager · (718) 819-6805
Enumeration DateOctober 6, 2016
Last NPPES UpdateMarch 30, 2018
✔ NPI 1073063731 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
5380 NESCONSET HWY, Port Jefferson Station, NY 11776

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 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).

Clinicians Billing Medicare Through This Organization

518

Medicare enrollment records show 518 clinicians reassign Medicare billing to Professional Occupational & Physical Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice446
Occupational Therapist in Private Practice71
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 518
Physical Therapist in Private Practice
NPI 1346269891
5499 NESCONSET HWY
Mount Sinai, NY 11766
(631) 331-3910
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1063469054
70 N COUNTRY RD SUITE 103
Port Jefferson, NY 11777
(631) 331-3608
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1790765675
70 N COUNTRY RD SUITE 103
Port Jefferson, NY 11777
(631) 331-3608
✔ Accepts Medicare0.9 mi
Occupational Therapist in Private Practice
NPI 1114642022
70 N COUNTRY RD STE 103
Port Jefferson, NY 11777
(631) 938-1565
✔ Accepts Medicare0.9 mi
Occupational Therapist in Private Practice
NPI 1700832417
70 N COUNTRY RD SUITE 103
Port Jefferson, NY 11777
(631) 331-3608
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1750460911
196 BELLE MEAD RD STE 2 AND 3
East Setauket, NY 11733
(631) 941-3535
✔ Accepts Medicare2.8 mi
Occupational Therapist in Private Practice
NPI 1003520917
764 MIDDLE COUNTRY RD
Selden, NY 11784
(631) 760-7800
✔ Accepts Medicare4.4 mi
Physical Therapist in Private Practice
NPI 1194896266
356 MIDDLE COUNTRY RD SECOND FLR STE 210
Coram, NY 11727
(631) 716-2700
✔ Accepts Medicare4.7 mi
Physical Therapist in Private Practice
NPI 1194371898
1312 MIDDLE COUNTRY RD
Selden, NY 11784
(631) 732-0700
✔ Accepts Medicare4.7 mi
Occupational Therapist in Private Practice
NPI 1194447656
745 ROUTE 25A
Rocky Point, NY 11778
(631) 849-6000
✔ Accepts Medicare6.8 mi
Physical Therapist in Private Practice
NPI 1083001705
55 AUGUSTA DR
Medford, NY 11763
(631) 875-2222
✔ Accepts Medicare7.5 mi
Occupational Therapist in Private Practice
NPI 1821620352
1733 N OCEAN AVE STE A
Medford, NY 11763
(631) 207-3600
✔ Accepts Medicare7.5 mi
Physical Therapist in Private Practice
NPI 1841807427
309 E MIDDLE COUNTRY RD STE 202
Smithtown, NY 11787
(631) 656-5665
✔ Accepts Medicare8.8 mi
Physical Therapist in Private Practice
NPI 1366511776
309 E MIDDLE COUNTRY RD STE 202
Smithtown, NY 11787
(631) 656-5665
✔ Accepts Medicare8.8 mi
Occupational Therapist in Private Practice
NPI 1679245609
33 SOUTH AVE
Smithtown, NY 11787
(631) 796-4381
✔ Accepts Medicare9.0 mi
Physical Therapist in Private Practice
NPI 1821663568
121 CALVERT AVE
Ronkonkoma, NY 11779
(631) 338-4769
9.8 mi
Physical Therapist in Private Practice
NPI 1811365133
521 ROUTE 111 STE 107
Hauppauge, NY 11788
(631) 724-9509
11 mi
Occupational Therapist in Private Practice
NPI 1942115134
800 VETERANS MEMORIAL HWY STE 110
Hauppauge, NY 11788
(631) 983-4982
11 mi
Occupational Therapist in Private Practice
NPI 1720963416
800 VETERANS MEMORIAL HWY
Hauppauge, NY 11788
(631) 676-7304
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1306092101
11 BYRD CT
Kings Park, NY 11754
(718) 316-7296
✔ Accepts Medicare12 mi
See all 518 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 1073063731. It was assigned to this organization in the NPPES registry on October 6, 2016.

Where is Professional Occupational & Physical Therapy, PLLC located?

Professional Occupational & Physical Therapy, PLLC is located at 5380 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-4096.

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.

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

According to the CMS Revalidation Reassignment List (October 2026 release), 518 clinicians in 3 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 (446), Occupational Therapist in Private Practice (71) and Physical Medicine and Rehabilitation (1). Of these, 16 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 30, 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.