Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kolton Stow, PT

Individual provider Physical Therapist · NPI 1821713611

Kolton Stow, PT is a Physical Therapist in Private Practice in Shirley, New York. Qualified in 2022, 4 years ago. Practices with Christopher Horsford PT PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2 Coraci Blvd Ste 2
Shirley, NY 11967-4833
Phone: (631) 395-9090
Fax: (631) 395-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049151-01 (NY)

Record details

NPI number1821713611
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address2 Coraci Blvd Ste 2, Shirley, NY 11967-4833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Christopher Horsford Pt Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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