Individual provider Active NPI

Karen Walsh, RPT

  • Specialist
  • Staten Island, NY
National Provider Identifier
1538334032
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0077400 Issued in NY
Practice address
2052 Richmond Rd
Staten Island, NY 10306-2583
Phone
(718) 816-6500
Fax
(718) 816-4677
NPI assigned
Apr 25, 2008
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0077400 NY Primary

Addresses

Primary practice location

2052 Richmond Rd
Staten Island, NY 10306-2583

Mailing address

2052 Richmond Rd
Staten Island, NY 10306-2583
Phone (718) 816-6400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080528000114 NY Practitioner - Physical Therapist in Private Practice 2961572367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
J. Lamendola Physical Therapy, P.C.Group PAC ID 6800141565, 13 clinicians

Practice addresses (Care Compare)

2052 Richmond Rd
Staten Island, NY 10306-2583
Phone (718) 816-6500

Merit-based Incentive Payment System (MIPS)

Final score
23.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0077400NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Lamendola Physical Therapy, P.C. CurrentSince Oct 22, 2018 Accepting new patients
MFS Orthopedics PC PastSince Jul 5, 2020 Accepting new patients

Locations

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

2052 Richmond Rd
Staten Island, NY 10306
Phone (718) 351-6500

236 Richmond Valley Rd
Ste 16
Staten Island, NY 10309

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1538334032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-816-6400",
            "fax_number": "718-816-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062583",
            "telephone_number": "718-816-6500",
            "fax_number": "718-816-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KAREN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "0077400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.