Individual provider Active NPI

Phares Briggs Horman, P.T.

  • Physical Therapist
  • Ammon, ID
National Provider Identifier
1013087576
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-727 Issued in ID
Practice address
3456 E 17TH St
Suite 130
Ammon, ID 83406-6757
Phone
(208) 523-0030
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-727 ID Primary
Physical Therapist 225100000X 2305202579 VA
Physical Therapist 225100000X CP061972T DC

Addresses

Primary practice location

3456 E 17TH St
Suite 130
Ammon, ID 83406-6757

Mailing address

3456 E 17TH St
Suite 130
Ammon, ID 83406-6757
Phone (208) 523-0030

Other practice location 1

8316 Arlington Blvd Ste 640
Fairfax, VA 22031-5216
Phone (703) 272-8340

Other identifiers 6

IdentifierTypeStateIssuer
TD207OtherIDBLUE CROSS INDIVIDUAL #
000010152190OtherIDBLUE SHIELD INDIV. NUMBER
000010152186OtherIDBLUE SHIELD GROUP NUMBER
807304100MedicaidID
805331400MedicaidID
8M467OtherIDBLUE CROSS GROUP NUMBER

Other names 1

  • Briggs Horman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-727IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Therapy Services P C Physical Therapist CurrentSince Feb 15, 2001 Accepting new patients

Locations

3456 E 17th St
Ste 130
Ammon, ID 83406
Phone (208) 523-0030

2323 Coronado St
Idaho Falls, ID 83404
Phone (208) 522-5230

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1013087576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST",
            "address_2": "SUITE 130",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066757",
            "telephone_number": "208-523-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 E 17TH ST",
            "address_2": "SUITE 130",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066757",
            "telephone_number": "208-523-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8316 Arlington Blvd Ste 640",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220315216",
            "country_code": "US",
            "telephone_number": "703-272-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORMAN",
        "first_name": "PHARES",
        "middle_name": "BRIGGS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-727",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202579",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "CP061972T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL #",
            "identifier": "TD207",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDIV. NUMBER",
            "identifier": "000010152190",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "000010152186",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807304100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805331400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "8M467",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGGS",
            "last_name": "HORMAN",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.