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

Mr. Kenneth P Stack, PT, MS, CSCS

Individual provider Physical Therapist · NPI 1346230489

Mr. Kenneth P Stack, PT, MS, CSCS is a Physical Therapist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

115 S Saint Marys St Ste A
Raleigh, NC 27603-1785
Phone: (800) 362-0903
Fax: (866) 434-5096
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8899 (NC)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 8899 (NC)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 8899 (NC)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 8899 (NC)

Record details

NPI number1346230489
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MS , CSCS
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 27, 2010

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