Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Hastie, PTA

Individual provider Physical Therapy Assistant · NPI 1639648637

Nicole Hastie, PTA is a Physical Therapy Assistant in Willow, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4536 State Route 212
Willow, NY 12495
Phone: (845) 706-2735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 004522-1 (NY)

Record details

NPI number1639648637
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 19, 2018
Last updated in NPPESNovember 19, 2018