Provider Demographics
NPI:1366765463
Name:HICKEY, SARAH JANE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JANE
Last Name:HICKEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4 RIGGER CT.
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:516-806-7948
Mailing Address - Fax:
Practice Address - Street 1:77 VETERANS HIGHWAY
Practice Address - Street 2:SUITE 5
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-499-4394
Practice Address - Fax:631-499-4383
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36518225100000X
VA2305206599225100000X
NY054395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist