MRS. KELLY J. SACK M.P.T.
NPI 1760538631
Physical Therapist - Pediatrics in Bohemia, NY
- Individual
- Female
- Physical Therapist
- Pediatrics
About KELLY SACK
This page provides the complete NPI Profile along with additional information for Kelly Sack, a provider established in Bohemia, New York with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1760538631 assigned on January 2007. The practitioner's primary taxonomy code is 2251P0200X with license number 019478 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1760538631 Verify this NPI
- Provider Name
- MRS. KELLY J. SACK M.P.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 45 CROSSWAY E BOHEMIA, NY 11716
- Location Phone
- (631) 218-4949
- Mailing Address
- 116 BUCKNELL RD WEST SAYVILLE, NY 11796
- Mailing Phone
- (631) 258-6111
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-25-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 019478
- License State
- NY
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760538631, enumerated as an "individual" on January 25, 2007.
The provider is located at 45 CROSSWAY E BOHEMIA, NY 11716 and the phone number is (631) 218-4949.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
