Provider Demographics
NPI:1306718820
Name:BERKNER, KYRA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KYRA
Middle Name:
Last Name:BERKNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1007
Mailing Address - Country:US
Mailing Address - Phone:845-570-0736
Mailing Address - Fax:
Practice Address - Street 1:307 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1007
Practice Address - Country:US
Practice Address - Phone:845-570-0736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02207800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist