PRN PHYSICAL & OCCUPATIONAL THERAPY NETWORK (NPI# 1942687579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942687579 |
| Entity Type | Organization |
| Organization Name | PRN PHYSICAL & OCCUPATIONAL THERAPY NETWORK |
| Practice Address |
20 Peachtree Ct Suite 105 Holbrook NY 11741-4616 |
| Mailing Address |
200 Castlebar Rd Rochester NY 14610-2914 |
| Practice Telephone | 6314673700 |
| Mailing Telephone | 5852563486 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | MRS. SUSAN MARIE PEEL (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 5857271459 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 005442-1 | NY | Residential Treatment Facilities |
| Street Address |
20 PEACHTREE CT SUITE 105 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497717 | Stephen Michael Joseph | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2005-12-14 |
| 1124569967 | Kathryn Dibenedetto | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2017-03-13 |
| 1144674359 | Clinical Care Associates, P.C. | Community/Behavioral Health | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2016-04-14 |
| 1548625601 | Tatyana Prusakova | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-12-16 |
| 1922481555 | Jean Paul Lo | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-07-01 |
| 1487032017 | Estrellita Ammirati | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-15 |
| 1588041636 | Susan Peel | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-04-28 |
| 1013315407 | Teresita Corpus | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-12-17 |
| 1134522931 | Youssef Boles | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-10-07 |
| 1336487909 | Jessica Guevara | Social Worker | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| 1154855476 | Rita Home Aide Inc. | Residential Treatment Facility, Physical Disabilities | 82 Rhodes Dr, New Hyde Park, NY 11040-3528 | 2017-04-13 |
| 1144764028 | Crystal Denise Thompson | Residential Treatment Facility, Physical Disabilities | 73 Orient Ave, Brentwood, NY 11717-1616 | 2016-12-12 |
| 1104293406 | Deborah A Wilson | Residential Treatment Facility, Physical Disabilities | 6 Doud Cir, Hilton, NY 14468-1480 | 2015-08-22 |
| 1598142275 | Drb Services | Residential Treatment Facility, Physical Disabilities | 1537 East 57 Street, 1537 East 57 Street, Brooklyn, NY 11234 | 2015-05-01 |
| 1922491018 | Castarpo Inc | Residential Treatment Facility, Physical Disabilities | 11577 230th St, Cambria Heights, Cambria Heights, NY 11411-1421 | 2015-03-12 |
| 1245635739 | Craig Allen Meade | Residential Treatment Facility, Physical Disabilities | 10 Gordon Pkwy, Syracuse, NY 13219-1060 | 2014-10-27 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| 1932520129 | Carla Lynn Sangiorgio | Residential Treatment Facility, Physical Disabilities | 1080 Rensselaer Ave, Staten Island, NY 10309-2114 | 2013-12-15 |
| 1649607359 | Holcare LLC | Residential Treatment Facility, Physical Disabilities | 1905 22nd Rd, Apt 36, Astoria, NY 11105-3655 | 2013-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.