Kelly Thacker is a New York, New York based therapist with 28 years of experience in Occupational Therapy. She completed her graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Thacker is 026459 for Occupational Therapy in New York. Her current practice location is 425 W 59th St Fl 6, New York. Patients can reach her at 212-523-7844. Kelly Thacker is OT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1558386672.
Kelly Thacker provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Kelly Thacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Thacker |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OT |
| Experience: | 28+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1998 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 425 W 59th St Fl 6, New York,
New York, 10019-8022 |
| Phone: | 212-523-7844 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0749293256 |
| Enrollment ID: | I20060731000409 |
| NPI Number: | 1558386672 |
| NPI Enumeration Date: | 12 Jul, 2006 |
| NPI Last Update On: | 25 Feb, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Thacker are as mentioned below.
| License Number | Specialization | State | Status | |
| 026459 | Occupational Therapy | New York | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly Thacker is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Jag-one Physical Therapy Llc (2769584325) | 161 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Thacker
425 W 59th St Fl 6,
New York, New York |
| Zip: | 10019-8022 |
| Phone Number: | 212-523-7844 |
| Fax Number: | 732-523-7844 |
Patients can reach Kelly Thacker at
425 W 59th St Fl 6, New York, New York or can
call to book an appointment on 212-523-7844.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.