Individual provider Active NPI

Taylor Hornak

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1013634641
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39364 Issued in FL
Practice address
1944 N Hercules Ave Ste C
Clearwater, FL 33763-4403
Phone
(727) 797-8100
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT39364 FL Primary

Addresses

Primary practice location

1944 N Hercules Ave Ste C
Clearwater, FL 33763-4403

Mailing address

2202 N Lois Ave Apt 1127
Tampa, FL 33607-2539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804002404 FL Practitioner - Physical Therapist in Private Practice 0749641892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39364FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nalin LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Cora Health Services, Inc PastSince Oct 30, 2022 Accepting new patients
Cora Health Services Inc PastSince Oct 30, 2022 Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 102
Bradenton, FL 34202
Phone (941) 212-1444

2349 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 656-2217

4168 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 785-2545

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1013634641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N LOIS AVE APT 1127",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 N HERCULES AVE STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337634403",
            "telephone_number": "727-797-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNAK",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.