Individual provider Active NPI

Kayla Christine Hatki, PT, DPT

  • Physical Therapist
  • Farmingdale, NY
National Provider Identifier
1053053264
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048195-01 Issued in NY
Practice address
814 Fulton St
Farmingdale, NY 11735-3638
Phone
(516) 420-1927
Fax
(516) 420-1952
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301942 CA
Physical Therapist 225100000X 2305216040 VA
Physical Therapist 225100000X 048195-01 NY Primary

Addresses

Primary practice location

814 Fulton St
Farmingdale, NY 11735-3638

Mailing address

814 Fulton St
Farmingdale, NY 11735-3638
Phone (516) 420-1927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208003372 VA Practitioner - Physical Therapist in Private Practice 4880081678 Reassigns benefits to 1 organization
I20250205002815 NY Practitioner - Physical Therapist in Private Practice 4880081678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Luna Care Physical Therapy PLLCGroup PAC ID 0840604666, 62 clinicians
PKL Physical Therapy and Wellness, PCGroup PAC ID 6103874425, 6 clinicians
Sportscare Physical Therapy, PCGroup PAC ID 8022163492, 3 clinicians

Practice addresses (Care Compare)

Pearl River, NY 10965
Phone (866) 525-3175

11 Broadway
Amityville, NY 11701-2701
Phone (631) 691-6900

814 Fulton St
Suite B
Farmingdale, NY 11735-3638
Phone (516) 420-1927

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
98.54
Improvement activities
40
Cost
74.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048195NYMDPharmacist
048195-01NYMDPhysical Therapist
2305216040VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 5, 2024 Accepting new patients
Jeffrey Wheeler DO PC CurrentSince Nov 11, 2025 Accepting new patients
PKL Physical Therapy & Wellness, PC Physical Therapist CurrentSince Nov 11, 2025 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Feb 26, 2026 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Nov 5, 2024 Accepting new patients
Sportscare Physical Therapy, PC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

11 Broadway
Amityville, NY 11701
Phone (516) 605-1700

814 Fulton St
Ste B
Farmingdale, NY 11735
Phone (516) 420-1927

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1053053264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353638",
            "telephone_number": "516-420-1927",
            "fax_number": "516-420-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATKI",
        "first_name": "KAYLA",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301942",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216040",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048195-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.