PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
NPI 1104376680
Occupational Therapist in Randolph, NJ

Active since October 10, 2016
390 STATE ROUTE 10 STE 202, RANDOLPH, NJ 07869(973) 895-9925(973) 895-9927 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2019, Mar 29, 2018, Oct 10, 2016 (3 updates tracked since 2016).

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 1104376680) is a healthcare organization registered as an occupational therapist in Randolph, New Jersey and active in the NPI registry since October 2016. The organization lists Kathllen Brush, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104376680
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NamePROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Location Address390 STATE ROUTE 10 STE 202Randolph, NJ 07869-2141
Mailing Address576 Broadhollow RdMelville, NY 11747-5002 · (631) 359-5859 · Fax (631) 396-0865
Fax(973) 895-9927
Organization SubpartNo
Authorized OfficialKathllen BrushCredentialing Manager · (631) 359-5859
Enumeration DateOctober 10, 2016
Last NPPES UpdateApril 23, 20193 updates tracked since enumeration
NPI 1104376680 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
390 STATE ROUTE 10 STE 202, Randolph, NJ 07869

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

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 1104376680. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is Professional Occupational & Physical Therapy, PLLC located?

Professional Occupational & Physical Therapy, PLLC is located at 390 State Route 10 Ste 202, Randolph, NJ 07869. The listed phone number is (973) 895-9925.

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

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

When was this NPI record last updated?

The NPPES record for Professional Occupational & Physical Therapy, PLLC was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.