MEDICARE: PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1053932590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	576 BROADHOLLOW RD
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-5002
Country	:	US
Telephone Number	:	631-359-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 BROAD ST
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-2523
Country	:	US
Telephone Number	:	631-359-5800
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KATHLEEN BRUSH
Credential	:
Telephone Number	:	631-359-5805

Provider Enumeration Date	:	05/06/2020
Last Update Date	:	05/06/2020

Similar Medicare Providers

1548192933 — BRANDON DALAMBERT
Practice Location Address:

31 BROAD ST
BLOOMFIELD, NJ
07003-2523

Practice Phone: 862-801-2445
Practice Fax:

1982314183 — ANNEMARIE CHRISTMAN
Practice Location Address:

31 BROAD ST
BLOOMFIELD, NJ
07003-2523

Practice Phone: 862-333-3020
Practice Fax:

1780275909 — MRS. JEAN L VIAUD-MURAT RN, CLC
Practice Location Address:

5261 OCONNOR CT
BLOOMFIELD HILLS, MI
48302-2523

Practice Phone: 248-973-5111
Practice Fax:

1376225508 — TERRIA LYNN COLVIN
Practice Location Address:

2523 BLOOMFIELD RD
CAMBRIDGE, OH
43725-9716

Practice Phone: 740-260-6727
Practice Fax:

1174407076 — JEANNA ROBERTA JEAN LOUIS NP
Practice Location Address:

220 BLOOMFIELD AVE
BLOOMFIELD, NJ
07003

Practice Phone: 973-520-2591
Practice Fax:

1174956593 — JEREMY L COHEN DPT, APN
Practice Location Address:

1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066

Practice Phone: 877-532-7837
Practice Fax:

Directions to “PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.