Provider Demographics
| NPI: | 1053298869 |
|---|---|
| Name: | PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, P.L.L.C. |
| Entity type: | Organization |
| Organization Name: | PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, P.L.L.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | AVRIELLE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PELTZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MA OTR/L |
| Authorized Official - Phone: | 914-603-8600 |
| Mailing Address - Street 1: | 580 WHITE PLAINS RD STE 120A |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TARRYTOWN |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10591-5106 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 914-603-8600 |
| Mailing Address - Fax: | 914-603-8601 |
| Practice Address - Street 1: | 580 WHITE PLAINS RD STE 120A |
| Practice Address - Street 2: | |
| Practice Address - City: | TARRYTOWN |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 10591-5106 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 914-603-8600 |
| Practice Address - Fax: | 914-603-8601 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-08-21 |
| Last Update Date: | 2025-08-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
| No | 225XR0403X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Driving and Community Mobility | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | |
| No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
