Individual provider Active NPI

Karn Santikul, DPT

  • Orthopedic Physical Therapist
  • Scarsdale, NY
National Provider Identifier
1265484133
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
026668-1 Issued in NY
Practice address
838 Scarsdale Ave
Scarsdale, NY 10583-5318
Phone
(914) 722-9200
Fax
(914) 722-9201
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 026668-1 NY Primary

Addresses

Primary practice location

838 Scarsdale Ave
Scarsdale, NY 10583-5318

Mailing address

838 Scarsdale Ave
Scarsdale, NY 10583-5318
Phone (914) 722-9200

Other identifiers 1

IdentifierTypeStateIssuer
026668-1OtherNYPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000523 NY Practitioner - Physical Therapist in Private Practice 3274581343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Sports and Spinal Physical Therapy, PLLCGroup PAC ID 2264520618, 5 clinicians

Practice addresses (Care Compare)

838 Scarsdale Ave
Scarsdale, NY 10583-5318
Phone (914) 722-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026668-1NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Sports and Spinal Physical Therapy, PLLC CurrentSince Nov 1, 2007 Accepting new patients
Christopher Showalter PT PC Past Accepting new patients
Christopher Showalter PT PC Past Accepting new patients
Christopher Showalter PT PC Orthopedic Past Accepting new patients

Locations

111 Bedford Rd
Ste 2
Armonk, NY 10504
Phone (914) 579-2722

838 Scarsdale Ave
Scarsdale, NY 10583
Phone (914) 722-9200

7 Popham Rd
Ste 302
Scarsdale, NY 10583
Phone (914) 396-4273

635 Commerce St
Thornwood, NY 10594
Phone (617) 549-6066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1265484133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 SCARSDALE AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835318",
            "telephone_number": "914-722-9200",
            "fax_number": "914-722-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 SCARSDALE AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835318",
            "telephone_number": "914-722-9200",
            "fax_number": "914-722-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIKUL",
        "first_name": "KARN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "026668-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "026668-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.