Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Rebecca Lack, DPT

Individual provider Physical Therapist · NPI 1699935866

Carolyn Rebecca Lack, DPT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2001, 25 years ago. Practices with Movement Valued Manual Therapy Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2008
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

147 W 24th St 7th Fl
New York, NY 10011-1911
Phone: (212) 997-7490
Fax: (212) 997-7492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 025886-1 (NY)

Record details

NPI number1699935866
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESMarch 13, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Movement Valued Manual Therapy Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Movement Valued Manual Therapy Physical Therapy PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York