Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Occupational & Physical Therapy, PLLC

Organization Physical Therapist · NPI 1104513555

Professional Occupational & Physical Therapy, PLLC provides Physical Therapist services in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1776 Broadway
New York, NY 10019-2002
Phone: (212) 823-9730
Fax: (212) 823-9731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1104513555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Brush — Manager Of Credentialing · (631) 359-5859
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 18, 2023
Certification dateApril 11, 2023
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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