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
1	225100000X	Physical Therapist
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1710435177
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	:	718-819-6805
Fax Number	:	347-841-9109

Provider Business Practice Location Address
First Line	:	440 OLD HOOK RD FL 1
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1325
Country	:	US
Telephone Number	:	201-497-6752
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR MANAGER
Name	:	KATHLEEN BRUSH
Credential	:
Telephone Number	:	718-819-6805

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	03/28/2018

Similar Medicare Providers

1043565005 — SHARNIKA DENISE COSTELLO
Practice Location Address:

1325 EMERSON ST NW , 102
WASHINGTON, DC
20011-6931

Practice Phone: 202-710-8793
Practice Fax:

1285637025 — DR. VINCENT FRANCIS GIACALONE DPM
Practice Location Address:

466 OLD HOOK RD , STE 24D
EMERSON, NJ
07630-1368

Practice Phone: 201-261-0500
Practice Fax: 201-261-7905

1609870245 — DR. SUSAN FLANZMAN MD
Practice Location Address:

466 OLD HOOK RD , SUITE 1
EMERSON, NJ
07630-1377

Practice Phone: 201-967-8221
Practice Fax: 201-634-9647

1114925559 — DR. STUART I. FINKEL MD
Practice Location Address:

20 GRAND BLVD
EMERSON, NJ
07630-1706

Practice Phone: 917-885-0633
Practice Fax: 201-261-4944

1922009760 — JOEL D JACOWITZ M.D
Practice Location Address:

452 OLD HOOK RD , 2ND FLOOR
EMERSON, NJ
07630-1381

Practice Phone: 201-666-3900
Practice Fax: 201-261-0505

1144221771 — ADVANCED MEDICAL IMAGING OF NORTH JERSEY, LLC
Practice Location Address:

452 OLD HOOK RD , SUITE 301
EMERSON, NJ
07630-1381

Practice Phone: 201-262-0001
Practice Fax: 201-262-2330

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.