PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
NPI 1649631680
Physical Therapist in Port Jefferson, NY
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 1649631680) is a healthcare organization registered as a physical therapist in Port Jefferson, New York and active in the NPI registry since March 2016. The organization lists Kathleen Brush, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
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
518Medicare enrollment records show 518 clinicians reassign Medicare billing to Professional Occupational & Physical Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 518Source: 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 1649631680. It was assigned to this organization in the NPPES registry on March 18, 2016.
Where is Professional Occupational & Physical Therapy, PLLC located?
Professional Occupational & Physical Therapy, PLLC is located at 70 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 331-3608.
What is Professional Occupational & Physical Therapy, PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
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, 4 practice at this address and 15 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 28, 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.
# Professional Occupational & Physical Therapy, Pllc · NPI 1649631680
Physical Therapist organization in Port Jefferson, New York. Organization record, active in the CMS NPPES registry since March 18, 2016.
## Identity
- **NPI:** 1649631680 (Entity type: Organization)
- **Enumerated:** March 18, 2016
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Kathleen Brush, CREDENTIALING MANAGER
## Practice location
- **Address:** 70 N COUNTRY RD, Port Jefferson, NY 11777-2161
- **Phone:** (631) 331-3608 · **Fax:** (631) 331-2392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 518 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (446), Occupational Therapist in Private Practice (71), Physical Medicine and Rehabilitation (1); 4 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1649631680/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1649631680) · Data from the CMS NPPES public registry.