PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Complete NPI Record 1487104261
Occupational Therapist in Whitestone, NY

Active since October 05, 2016

2142 UTOPIA PKWY, WHITESTONE, NY 11357(718) 767-0610(718) 767-0260 Get Directions

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2019, Apr 25, 2019, Apr 10, 2019 and 2 more (5 updates tracked since 2018).

Complete NPI Dataset

This page contains the complete raw NPPES record for Professional Occupational & Physical Therapy, Pllc (NPI 1487104261), an occupational therapist organization in Whitestone, NY. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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Registry File Document Utilities

NPI: 1487104261: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available: The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC: The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 576 BROADHOLLOW RD: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: MELVILLE: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NY: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 117475002: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 6313595800: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider First Line Business Practice Location Address: 2142 UTOPIA PKWY: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: WHITESTONE: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NY: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 113574142: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7187670610: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7187670260: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 10/5/2016: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/13/2019: The date that a record was last updated or changed.
Authorized Official Last Name: STRATTON: The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: KATHLEEN: The first name of the authorized official.
Authorized Official Title or Position: CREDENTIALING COORDINATOR MANAGER: The title or position of the authorized official.
Authorized Official Telephone Number: 6313595859: The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 225100000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 225X00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 2: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N: Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Secondary Practice Locations 57

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

524 Williamstown Rd Ste B1

1/57

Sicklerville, NJ 08081-1800 · Phone (856) 516-0591 · Fax (856) 516-0592

1290 Summer St Ste 2000

2/57

Stamford, CT 06905-5360 · Phone (203) 307-4600 · Fax (203) 307-4601

96 Danbury Rd

3/57

Ridgefield, CT 06877-4069 · Phone (203) 307-4600 · Fax (203) 307-4601

346 Main Ave

4/57

Norwalk, CT 06851-1592 · Phone (203) 847-4400 · Fax (203) 847-4442

53 Old Kings Hwy N Ste 103

5/57

Darien, CT 06820-4735 · Phone (203) 202-9889 · Fax (203) 202-9975

3530 Post Rd Ste 202

6/57

Southport, CT 06890-1169 · Phone (203) 307-4600 · Fax (203) 307-4601

3053 US Highway 46

7/57

Parsippany, NJ 07054-1233 · Phone (973) 331-3790 · Fax (973) 331-3956

168 Franklin Tpke Ste 103B

8/57

Waldwick, NJ 07463-1835 · Phone (201) 493-7440 · Fax (201) 493-7445

177 N Dean St Ste 3

9/57

Englewood, NJ 07631-2521 · Phone (201) 408-4477 · Fax (201) 408-4157

70 Ridge Rd

10/57

Lyndhurst, NJ 07071-1216 · Phone (201) 933-9959 · Fax (201) 933-9958

566 Route 23

11/57

Pompton Plains, NJ 07444-1420 · Phone (862) 248-0140 · Fax (862) 248-0141

1 Greenwood Ave

12/57

Montclair, NJ 07042-3649 · Phone (973) 746-2424 · Fax (973) 746-5030

530 Kinderkamack Rd

13/57

River Edge, NJ 07661-2140 · Phone (201) 523-9207 · Fax (201) 523-9208

84 Orient Way

14/57

Rutherford, NJ 07070-2052 · Phone (201) 514-4900 · Fax (201) 340-4141

112 Bloomfield Ave

15/57

Caldwell, NJ 07006-5336 · Phone (973) 226-2434 · Fax (973) 226-3010

2 Brighton Rd Ste 406

16/57

Clifton, NJ 07012-1669 · Phone (973) 928-6969 · Fax (973) 928-6968

691 Bloomfield Ave

17/57

Montclair, NJ 07042-2238 · Phone (973) 893-5082 · Fax (973) 893-5141

45 Franklin Ave

18/57

Nutley, NJ 07110-3224 · Phone (973) 235-0500 · Fax (973) 235-0566

160 Franklin Ave

19/57

Nutley, NJ 07110-3075 · Phone (973) 667-0429 · Fax (973) 667-0636

300 Route 17

20/57

Mahwah, NJ 07430-2141 · Phone (201) 529-8322 · Fax (201) 529-8377

25 Prospect Ave

21/57

Hackensack, NJ 07601-1960 · Phone (201) 343-2700 · Fax (201) 343-2755

1055 Hamburg Tpke

22/57

Wayne, NJ 07470-3235 · Phone (973) 305-0064 · Fax (973) 305-0074

776 N Rte 17

23/57

Paramus, NJ 07652-3117 · Phone (201) 225-9222 · Fax (201) 225-9223

68 River Rd

24/57

Summit, NJ 07901-1450 · Phone (908) 277-0800 · Fax (908) 277-0808

440 Old Hook Rd

25/57

Emerson, NJ 07630-2302 · Phone (201) 497-6752 · Fax (201) 497-6756

64 River Rd

26/57

East Hanover, NJ 07936-3599 · Phone (973) 428-1050 · Fax (973) 428-1051

221 Chestnut St

27/57

Newark, NJ 07105-1558 · Phone (973) 491-6500 · Fax (973) 491-6303

187 Millburn Ave

28/57

Millburn, NJ 07041-1847 · Phone (973) 467-7976 · Fax (973) 467-7971

390 Route NJ 10, Suite 202

29/57

Randolph, NJ 07869-1368 · Phone (973) 895-9925 · Fax (973) 895-9927

5 Marine View Plz

30/57

Hoboken, NJ 07030-5756 · Phone (201) 683-8058 · Fax (201) 683-8062

668 Wyckoff Ave

31/57

Wyckoff, NJ 07481-1430 · Phone (201) 891-0411 · Fax (201) 891-0433

226 Middle Rd

32/57

Hazlet, NJ 07730-1945 · Phone (732) 888-9889 · Fax (732) 888-9897

405 Northfield Ave Ste Ll

33/57

West Orange, NJ 07052-3026 · Phone (973) 731-1950 · Fax (973) 731-1242

2333 Morris Ave Ste B105

34/57

Union, NJ 07083-5716 · Phone (908) 686-8764 · Fax (908) 686-8676

111 Madison Ave Ste 303

35/57

Morristown, NJ 07960-7359 · Phone (973) 267-0991 · Fax (973) 267-0930

7 Cedar Grove Ln Ste 39

36/57

Somerset, NJ 08873-1331 · Phone (732) 469-5680 · Fax (732) 868-1422

281 Witherspoon St

37/57

Princeton, NJ 08540-3223 · Phone (609) 279-2194 · Fax (609) 279-2196

137 Main Rd Fl 2

38/57

Montville, NJ 07045-9231 · Phone (973) 917-3682 · Fax (973) 917-3687

1069 Ringwood Ave

39/57

Haskell, NJ 07420-1408 · Phone (973) 616-9700 · Fax (973) 616-9760

484 Southern Blvd

40/57

Chatham, NJ 07928-1406 · Phone (973) 377-5990 · Fax (973) 377-5996

222 High St Ste 203

41/57

Newton, NJ 07860-9605 · Phone (973) 383-3822 · Fax (973) 383-3814

1325 Warren Ave

42/57

Spring Lake, NJ 07762-2566 · Phone (732) 449-7855 · Fax (732) 449-7856

1500 Pleasant Valley Way

43/57

West Orange, NJ 07052-2956 · Phone (973) 325-3422 · Fax (973) 325-0825

150 Midland Ave

44/57

Saddle Brook, NJ 07663-6402 · Phone (201) 712-5533 · Fax (201) 712-5551

680 Kinderkamack Rd

45/57

Oradell, NJ 07649-1600 · Phone (201) 225-0100 · Fax (201) 225-0800

150 Flanagan Way

46/57

Secaucus, NJ 07094-3445 · Phone (201) 319-0010 · Fax (201) 319-8994

590 Anderson Ave

47/57

Cliffside Park, NJ 07010-1721 · Phone (201) 941-8667 · Fax (201) 941-3353

250 River St

48/57

Hackensack, NJ 07601-7514 · Phone (201) 820-3730 · Fax (201) 820-3731

105 Elm St

49/57

Westfield, NJ 07090-3143 · Phone (908) 264-7503 · Fax (908) 264-7596

21 Headquarters Plz Lowr Lobby

50/57

Morristown, NJ 07960-3963 · Phone (973) 993-9500 · Fax (973) 993-9510

85 S Maple Ave

51/57

Ridgewood, NJ 07450-4561 · Phone (201) 857-5396 · Fax (201) 857-5398

201 Durham Ave

52/57

South Plainfield, NJ 07080-2504 · Phone (908) 205-8625 · Fax (908) 205-8749

475 N Bridge St Ste 102

53/57

Bridgewater, NJ 08807-2153 · Phone (908) 575-0008 · Fax (908) 575-0382

30 Vreeland Rd Ste 110

54/57

Florham Park, NJ 07932-1901 · Phone (973) 660-1000 · Fax (973) 660-1008

700 Passaic Ave

55/57

West Caldwell, NJ 07006-6408 · Phone (973) 575-7576 · Fax (973) 575-7985

22005 Hillside Ave

56/57

Queens Village, NY 11427-2033 · Phone (718) 400-8330 · Fax (718) 400-8340

39 East Front Street

57/57

Red Bank, NJ 07701 · Phone (732) 978-1500 · Fax (732) 978-1509

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