Victor Michael Sackett III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014736-1 Issued in NY

Practice address

14 Cosgrove Dr
Glen Cove, NY 11542-2601

Phone

(516) 695-4998

Fax

(516) 403-1862

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Home Care Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Glen Cove, NY
  • NPI 1659445658
  Medicare reassignment NPD Authorized official
• John Simmons P T P C

  • Physical Therapist
  • Great Neck, NY
  • NPI 1003969726
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982608766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COSGROVE DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422601",
            "telephone_number": "516-695-4998",
            "fax_number": "516-403-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COSGROVE DR",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422601",
            "telephone_number": "516-695-4998",
            "fax_number": "516-403-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "VICTOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Rufrano, MD
• Rui an Acupuncture & Chiropractic PLLC
• Katrina T Sabater, M. D.
• Alicia A. Sabatino-Andrus, M.S., CCC-SLP
• Michele Luci Sabatino, M.A. CCC/SLP
• Mariam Sadighi, OTR
• Briana Saed, DO
• Sajid Khan MD PC
• Nima Sakian
• Sharon Salmon

• Physical Therapist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.