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.

  • 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
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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.

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.