Individual provider Active NPI

Kiana Hamilton

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1104657709
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407566 Issued in TX
Practice address
372 Avenue U
Brooklyn, NY 11223-4018
Phone
(718) 258-3300
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 052491 NY
Physical Therapist 225100000X 1407566 TX Primary

Addresses

Primary practice location

372 Avenue U
Brooklyn, NY 11223-4018

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

7410 McCart Ave Ste 108C
Fort Worth, TX 76133-7428
Phone (682) 350-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241003002576 NY Practitioner - Physical Therapist in Private Practice 9739610510 Reassigns benefits to 2 organizations
I20251230001862 TX Practitioner - Physical Therapist in Private Practice 9739610510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

7410 McCart Ave
Suite 108
Fort Worth, TX 76133-7427
Phone (682) 350-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407566TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 10, 2025 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jul 3, 2025 Accepting new patients
Supreme Care Physical Therapy and Occupational Therapy, PLLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

372 Avenue U
Brooklyn, NY 11223
Phone (347) 392-2673

3319 Avenue N
Brooklyn, NY 11234
Phone (718) 258-3300

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

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090

6828 Stonebrook Pkwy
Ste 300
Frisco, TX 75034
Phone (469) 403-2022

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

2180 FM 423
Ste 300
Little Elm, TX 75068
Phone (469) 403-2242

3241 S Custer Rd
Ste 101
McKinney, TX 75070

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

3751 Main St
Ste 100
The Colony, TX 75056
Phone (469) 476-3523

Organizations & group practices 4

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1104657709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234018",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 McCart Ave Ste 108C",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761337428",
            "country_code": "US",
            "telephone_number": "682-350-4318",
            "fax_number": "817-241-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KIANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.