Active NPI
Samantha Michelle Runkel
- Geriatric Physical Therapist
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 049117
- Practice address
- 7 Shinnecock Ave
Massapequa, NY 11758-6716 - Phone
- (516) 462-4353
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 049117 | NY | Primary |
Addresses
Primary practice location
7 Shinnecock Ave
Massapequa, NY 11758-6716
Mailing address
7 Shinnecock Ave
Massapequa, NY 11758-6716
Phone (516) 462-4353
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | homecare@nyphysicaltherapy.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4080 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 745-8070
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049117 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Geriatrics | Current | Accepting new patients |
| Ny Physical Therapy & Wellness LLC | Geriatrics | Current | Accepting new patients |
| Ny PT and OT PLLC | Geriatrics | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Geriatrics | Current | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324
820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 358-8911
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224
1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Geriatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1033826052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHINNECOCK AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586716",
"telephone_number": "516-462-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SHINNECOCK AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586716",
"telephone_number": "516-462-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNKEL",
"first_name": "SAMANTHA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "049117",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "homecare@nyphysicaltherapy.net",
"affiliation": "N",
"address_1": "650 Wantagh Ave Ste 2",
"city": "Levittown",
"state": "NY",
"country_code": "US",
"postal_code": "117565390",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.