DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) – Physical Therapist, NPI 1992006761

DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) is a healthcare provider. based in Driggs, Idaho. specializing in Physical Therapist. They hold the professional credentials PT, DPT, OCS, CSCS. They hold a License No. PT-2689 (ID). The NPI Number for DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) is 1992006761

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS)
NPI
1992006761
Phone
(208) 354-1999
Address
18 NORTH MAIN ST
Enumeration Date
10 November 2010
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083541999
Graduation Year
2006 (20 years ago)
PAC ID
9830378983
Group Practice PAC ID
7911051784
Professional Enrollment ID
I20110121000695
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS)

  • 18 NORTH MAIN ST

    SUITE 215

    DRIGGS, ID 83422

    Phone: (208) 354-1999

    Type: Location

  • 230 ASHLEY AVE

    DRIGGS, ID 834225210

    Phone: (208) 473-6053

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83422)

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Provider's Procedures

DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYID97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30054
PHYSICAL THERAPYID97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15945

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911051784View full group profile
NameSpecialtyState
-ID

Reviews

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Frequently asked questions

Where can patients find DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS)'s NPI?
You can confirm DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) with NPI 1992006761; it appears in the national provider directory.
Is DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) currently active in the NPI registry?
CMS-published data lists DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) as an active registrant.
Does DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) list a primary specialty?
If you are matching referrals, note Physical Therapist for DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS). Clinical services aligned with this taxonomy classification.
Does DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) practice in Idaho?
You will see Driggs, Idaho on file for DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) alongside any extra practice locations.
Is DR. KELLY P SADAUCKAS (PT, DPT, OCS, CSCS) a real provider?
This page reflects official NPPES data for NPI 1992006761. Always confirm identity and privileges with the practice and licensing boards.

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