Samantha Louise Eckhardt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023679 Issued in NY

Practice address

174 Oakdale Rd
Johnson City, NY 13790-1049

Phone

(607) 729-0044

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NC2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.79 of 100Reported as group

Quality

89.94

Promoting interoperability

88

Improvement activities

40

Cost

82.5

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wakemed Specialists Group, LLC

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1588227839
  Medicare reassignment Care Compare group NPD
• Excelsior Orthopaedics LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1831196757

  Occupational Therapist

  Medicare reassignment NPD
• Excelsior Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1003058462
  NPD
• Southern Tier Medical Care - Ny PC

  • Internal Medicine Physician
  • Binghamton, NY
  • NPI 1134646276
  NPD
• Wakemed Specialists Group LLC

  • Cardiac Rehabilitation Registered Nurse
  • Raleigh, NC
  • NPI 1063304228
  NPD
• Wakemed Specialists Group LLC

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1417512690

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1013569391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 OAKDALE RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901049",
            "telephone_number": "607-729-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 OAKDALE RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901049",
            "telephone_number": "607-729-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101214",
            "country_code": "US",
            "telephone_number": "919-232-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKHARDT",
        "first_name": "SAMANTHA",
        "middle_name": "LOUISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16896",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kristen Lee Duran, FNP
• Jerry David Duvinsky, PHD
• Sarah Catherine Dvorsky, M.A., CCC-SLP
• Philip John Dzwonczyk, MD
• Sarah Eaton, LCSW-R
• Taylor Jane Edgar
• Heather L. Edmondson, PA-C
• Christian Edwards, M.D.
• Robert George Egbers, M.D.
• Timothy Ehret, D.P.T.

• Occupational Therapist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.