| Jacqueline Stack, PT, DPT | |
| 
					99 Business Park Dr, Armonk, NY 10504-1720  | |
| (914) 295-9240 | |
| (646) 805-1350 | 
| Full Name | Jacqueline Stack | 
|---|---|
| Gender | Female | 
| Speciality | Physical Therapist | 
| Location | 99 Business Park Dr, Armonk, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932905049 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 053838 (New York) | Primary | 
| Provider Name | Spear Physical And Occupational Therapy, Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1063454577 PECOS PAC ID: 6901832112 Enrollment ID: O20050711000390  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jacqueline Stack, PT, DPT 31 E 32nd St Fl 4, New York, NY 10016-5595 Ph: (212) 759-2282  | Jacqueline Stack, PT, DPT 99 Business Park Dr, Armonk, NY 10504-1720 Ph: (914) 295-9240  | 
Elyse Marie Davis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Old Mount Kisco Rd, Armonk, NY 10504 Phone: 914-548-3124  | |
Focal Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 530 Main St, Armonk, NY 10504 Phone: 914-273-9100 Fax: 914-273-9101  | |
Purvi Pandya,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 99 Business Park Dr, Armonk, NY 10504 Phone: 914-295-9240  | |
Alison O'connor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Business Park Dr, Armonk, NY 10504 Phone: 914-597-2165 Fax: 914-273-3174  | |
Patrick Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 357 Main St, Armonk, NY 10504 Phone: 914-273-0800  | |
Jeffrey Anthony Vitale, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 Maple Ave, Armonk, NY 10504 Phone: 917-471-2001  | |
Jonathan Corti,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 99 Business Park Dr, Armonk, NY 10504 Phone: 914-295-9240 Fax: 646-805-1350  |