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

Mrs. Kelly J. Sack, MPT

Individual provider Pediatric Physical Therapist · NPI 1760538631

Mrs. Kelly J. Sack, MPT is a Pediatric Physical Therapist in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

45 Crossway E
Bohemia, NY 11716-1204
Phone: (631) 218-4949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 019478 (NY)

Record details

NPI number1760538631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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