MEDICARE: KBF PHYSICAL THERAPY WELLNESS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1922935717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KBF PHYSICAL THERAPY WELLNESS, PC

Provider Business Mailing Address
First Line	:	710 DEER PARK AVE
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-4307
Country	:	US
Telephone Number	:	631-587-0946
Fax Number	:	631-587-0979

Provider Business Practice Location Address
First Line	:	710 DEER PARK AVE
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-4307
Country	:	US
Telephone Number	:	631-587-0946
Fax Number	:	631-587-0979

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	KAREN BAXTER FURNO
Credential	:	P.T.
Telephone Number	:	631-587-0946

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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