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: October 18, 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

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

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, 1 practice at this address and 17 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 1578178604
390 ROUTE NJ 10 SUITE 202
Randolph, NJ 07869
(973) 895-9925
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952627754
2 EMERY AVE SUITE 3
Randolph, NJ 07869
(973) 895-9925
✔ Accepts Medicare1.3 mi
Physical Therapist in Private Practice
NPI 1548806896
390 ROUTE NJ 10 SUITE 202
Randolph, NJ 07869
(973) 895-9925
✔ Accepts Medicare2.4 mi
Physical Therapist in Private Practice
NPI 1497824692
161 E MAIN ST
Denville, NJ 07834
(973) 627-7888
✔ Accepts Medicare4.4 mi
Occupational Therapist in Private Practice
NPI 1225528458
109 ROUTE 46
Denville, NJ 07834
(973) 625-0744
✔ Accepts Medicare4.4 mi
Physical Therapist in Private Practice
NPI 1407749831
20 COMMERCE BLVD STE B
Succasunna, NJ 07876
(862) 683-1001
✔ Accepts Medicare4.9 mi
Physical Therapist in Private Practice
NPI 1760268148
21 HEADQUARTERS PLZ LOWR LOBBY
Morristown, NJ 07960
(973) 947-8876
✔ Accepts Medicare6.1 mi
Occupational Therapist in Private Practice
NPI 1053919654
21 HEADQUARTERS PLZ LOWR LOBBY
Morristown, NJ 07960
(973) 993-9500
✔ Accepts Medicare6.1 mi
Occupational Therapist in Private Practice
NPI 1447006184
21 HEADQUARTERS PLZ LOWR LOBBY
Morristown, NJ 07960
(973) 993-9500
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1033839022
21 HEADQUARTERS PLZ LOWR LOBBY
Morristown, NJ 07960
(973) 947-8876
✔ Accepts Medicare6.1 mi
Occupational Therapist in Private Practice
NPI 1497506380
333 LITTLETON RD
Parsippany, NJ 07054
(973) 577-7850
✔ Accepts Medicare7.0 mi
Occupational Therapist in Private Practice
NPI 1194563817
333 LITTLETON RD STE 100&101
Parsippany, NJ 07054
(973) 331-3790
✔ Accepts Medicare7.0 mi
Physical Therapist in Private Practice
NPI 1639554702
300 PARSIPPANY RD APT 22Q
Parsippany, NJ 07054
(862) 576-1488
✔ Accepts Medicare7.1 mi
Physical Therapist in Private Practice
NPI 1396293601
3053 US HIGHWAY 46
Parsippany, NJ 07054
(973) 331-3790
✔ Accepts Medicare7.1 mi
Occupational Therapist in Private Practice
NPI 1578545224
111 MADISON AVE STE 303
Morristown, NJ 07960
(973) 267-0991
✔ Accepts Medicare7.4 mi
Physical Therapist in Private Practice
NPI 1679941348
244 ROUTE 206 STE 3
Flanders, NJ 07836
(973) 598-3077
✔ Accepts Medicare8.1 mi
Occupational Therapist in Private Practice
NPI 1023790177
150 MORRISTOWN RD STE 110
Bernardsville, NJ 07924
(631) 359-5859
✔ Accepts Medicare9.9 mi
Physical Therapist in Private Practice
NPI 1548942642
187 COLUMBIA TPKE
Florham Park, NJ 07932
(973) 845-6479
✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1265036743
20 COOK PLZ
Madison, NJ 07940
(973) 295-6460
✔ Accepts Medicare10 mi
Occupational Therapist in Private Practice
NPI 1912656489
535 MOUNTAIN AVE
New Providence, NJ 07974
(908) 587-8413
✔ Accepts Medicare15 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 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.

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), 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, 1 practice at this address and 17 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 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.