Kyle Daniel Berna, DPT, LAT, ATC
Individual provider Active NPI Physical Therapist · Massapequa, NY
NPI 1831721703 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1831721703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 055293 (NY)
- Practice address
- 5700 Merrick Rd
Massapequa, NY 11758-6221 - Phone
- (516) 798-9605
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055293 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 055293 | NY | Yes |
Addresses
Primary practice location
5700 Merrick Rd
Massapequa, NY 11758-6221
Mailing address
43 Greatwater Ave
Massapequa, NY 11758-8307
Other practice location 1
953 Danby Rd
Ithaca, NY 14850-7000
Phone (516) 672-7210
Other providers in Massapequa, NY
- Gabrielle Sarah Bellamente
- Jill Berger
- Dana Ann Bergin
- Kimberly Anne Berkery
- Dean Berman
- Leslie Anne Bernstein
- Paul Barry Bernstein
- Bethpage Medical PLLC
- Brooke B Bignall
- MD Masud Billah
All providers in Massapequa, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.