Active NPI
Baxter and Walsh Physical Therapy PC
- Physical Therapist
- Wantagh, NY
National Provider Identifier
1477558997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017901-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17401 | Other | NY | CIGNA ORTHONET |
| 3C3953 | Other | NY | HEALTHNET |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Babylon, NY
- NPI 1396959540
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.