MRS. KELLY J. SACK M.P.T.
NPI 1760538631
Physical Therapist - Pediatrics in Bohemia, NY

Active since January 25, 2007
45 CROSSWAY E, BOHEMIA, NY 11716(631) 218-4949 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelly J. Sack M.p.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY J. SACK M.P.T. (NPI 1760538631) is an individual pediatrics provider in Bohemia, New York, licensed in New York (019478) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1760538631
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. KELLY J. SACKCredential: M.P.T.
Location Address45 CROSSWAY EBohemia, NY 11716-1204
Mailing Address116 Bucknell RdWest Sayville, NY 11796-1005 · (631) 258-6111
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760538631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 019478
Definition

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.

45 CROSSWAY E, Bohemia, NY 11716

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Occupational Therapist
45 CROSSWAY E
BOHEMIA, NY 11716
Registered Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Licensed Practical Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Speech-Language Pathologist
45 CROSSWAY E
BOHEMIA, NY 11716
Speech-Language Pathologist
45 CROSSWAY E
BOHEMIA, NY 11716
Registered Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Speech-Language Pathologist
45 CROSSWAY E
BOHEMIA, NY 11716
Psychologist (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Occupational Therapist (Pediatrics)
45 CROSSWAY E
BOHEMIA, NY 11716
Registered Nurse (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Psychologist (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Social Worker (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Developmental Therapist
45 CROSSWAY E
BOHEMIA, NY 11716
Physical Therapy Assistant
45 CROSSWAY E
BOHEMIA, NY 11716
Registered Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716

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.