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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: August 16, 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
Phone(631) 218-4949
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
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN BARBARA NEUBAUER MA
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
MRS. TOBI ROSE WEINSTEIN RN
Registered Nurse (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
CELIA SCHWEIGHARDT RN
Registered Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
JENNIFER KOBELSKI
Occupational Therapist
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
DR. NICOLE SCHIFFMACHER PT
Physical Therapist
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
MS. CAROLYN VERONICA NICKDOW L.P.N.
Licensed Practical Nurse
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
MRS. CHERYL LYNN GIOVANNETTONE
Specialist
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949
MRS. JOY BETH RUBEL LMSW
Social Worker (School)
45 CROSSWAY E
BOHEMIA, NY 11716
Suffolk County (631) 218-4949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sack's NPI number?

The NPI number for Kelly Sack is 1760538631. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Kelly Sack located?

Kelly Sack practices at 45 Crossway E, Bohemia, NY 11716. The listed phone number is (631) 218-4949.

What is Kelly Sack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kelly Sack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.