Kyle Mack, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

013224-1 Issued in NY

Practice address

150 Overlook Ave
Apt 1a
Peekskill, NY 10566-3004

Phone

(914) 484-8246

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1467650424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105470736",
            "telephone_number": "914-484-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OVERLOOK AVE",
            "address_2": "APT 1A",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105663004",
            "telephone_number": "914-484-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "013224-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Maria Frances Luciano, LMSW
• Nivea Lucio, MSW
• Danielle N Lydon, MS, OTR/L
• Cynthia Ann Lynch, CNM
• Kimberly Lynch
• Karen Mahakian, RDH
• Nisha Manansingh, PA-C
• Kristina Catherine Manich, PMHNP
• Luigi T Marano
• Eleanor Marantz, M.S. ED

• Orthopedic Physical Therapist in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.