Organization Active NPI

Baxter and Walsh Physical Therapy PC

  • Physical Therapist
  • Wantagh, NY
National Provider Identifier
1477558997
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017901-1 Issued in NY
Legal business name
BAXTER AND WALSH PHYSICAL THERAPY PC
Practice address
2237A Wantagh Ave
Wantagh, NY 11793-3917
Phone
(516) 826-0116
Fax
(516) 826-0115
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Mrs. Karen Furno, P.T.
Title
Co-Owner
Phone
(516) 826-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 017901-1 NY Primary

Addresses

Primary practice location

2237A Wantagh Ave
Wantagh, NY 11793-3917

Mailing address

33 Abbott PL
Bay Shore, NY 11706-7507
Phone (631) 669-2689

Other identifiers 2

IdentifierTypeStateIssuer
17401OtherNYCIGNA ORTHONET
3C3953OtherNYHEALTHNET

National Provider Directory

National Provider Directory

Locations

2237 Wantagh Ave
Unit A
Wantagh, NY 11793
Phone (516) 826-0116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1477558997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ABBOTT PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067507",
            "telephone_number": "631-669-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237A WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933917",
            "telephone_number": "516-826-0116",
            "fax_number": "516-826-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER AND WALSH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "FURNO",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-826-0116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017901-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET",
            "identifier": "17401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C3953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.