Individual provider Active NPI

Karen M Eckardt, PT

  • Clinical Electrophysiology Physical Therapist
  • Bay Shore, NY
National Provider Identifier
1619914801
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
011555-1 Issued in NY
Practice address
131 W Main St
Bay Shore, NY 11706-8315
Phone
(631) 665-4560
Fax
(631) 665-7213
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 011555-1 NY
Clinical Electrophysiology Physical Therapist 2251E1300X 011555-1 NY Primary

Addresses

Primary practice location

131 W Main St
Bay Shore, NY 11706-8315

Mailing address

3385 Veterans Memorial Hwy Ste I
Ronkonkoma, NY 11779-7660
Phone (631) 665-4560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000145 NY Practitioner - Physical Therapist in Private Practice 1759392640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panetta Physical Therapy PCGroup PAC ID 1052402450, 14 clinicians

Practice addresses (Care Compare)

3385 Veterans Memorial Hwy
Ronkonkoma, NY 11779-7660
Phone (631) 665-4560

55 Bryant Ave
FL 2
Roslyn, NY 11576-1139
Phone (516) 484-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011555-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC CurrentSince Aug 12, 2025 Accepting new patients
Panetta Physical Therapy, PC Specialist CurrentSince Aug 13, 2007 Accepting new patients
Joscelyn Travers Past Accepting new patients

Locations

340 Howells Rd
Ste B
Bay Shore, NY 11706
Phone (631) 666-1956

131 W Main St
Bay Shore, NY 11706
Phone (631) 665-4560

225 Howells Rd
#2
Bay Shore, NY 11706
Phone (631) 665-4560

62 W Main St
Bay Shore, NY 11706
Phone (631) 665-4560

225 Howells Rd
Fl 2
Bay Shore, NY 11706
Phone (631) 665-4560

225 Howells Rd
Bay Shore, NY 11706
Phone (631) 665-4560

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

3385 Veterans Memorial Hwy
Ste I
Ronkonkoma, NY 11779
Phone (631) 665-4560

55 Bryant Ave
Fl 2
Roslyn, NY 11576
Phone (516) 484-9775

Organizations & group practices 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1619914801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 VETERANS MEMORIAL HWY STE I",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797660",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068315",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKARDT",
        "first_name": "KAREN M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011555-1",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NY",
            "license": "011555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.