Active NPI
Kolton Stow, PT
- Physical Therapist
- Shirley, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049151-01
- Practice address
- 2 Coraci Blvd Ste 2
Shirley, NY 11967-4833 - Phone
- (631) 395-9090
- Fax
- (631) 395-9100
- NPI assigned
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049151-01 | NY | Primary |
Addresses
Primary practice location
2 Coraci Blvd Ste 2
Shirley, NY 11967-4833
Mailing address
2 Coraci Blvd Ste 2
Shirley, NY 11967-4833
Phone (631) 395-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Coraci Blvd
Suite 2
Shirley, NY 11967-4833
Phone (631) 395-9090
5905 Severin Dr
La Mesa, CA 91942-3806
Phone (619) 589-2606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Christopher Horsford PT PC | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
Locations
2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422
1663 Greenfield Dr
El Cajon, CA 92021
Phone (619) 401-7913
5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606
2650 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 295-3000
10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567
2 Coraci Blvd
Ste 2
Shirley, NY 11967
Phone (631) 281-8670
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.
-
- Physical Therapist
- Shirley, NY
- NPI 1447581723
-
- Multi-Specialty Clinic/Center
- Escondido, CA
- NPI 1972229805
Physical Therapist
-
- Physical Therapist
- El Cajon, CA
- NPI 1699712315
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1821713611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CORACI BLVD STE 2",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674833",
"telephone_number": "631-395-9090",
"fax_number": "631-395-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CORACI BLVD STE 2",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674833",
"telephone_number": "631-395-9090",
"fax_number": "631-395-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOW",
"first_name": "KOLTON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049151-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.