Active NPI
Roger L Horton, LICENSED PHYSICAL TH
- Physical Therapy Assistant
- Hillsville, VA
National Provider Identifier
1043409436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306000885
- Practice address
- 1113 Carrollton Pike
Heartland Rehabilitation Services of Virginia Inc
Hillsville, VA 24343 - Phone
- (276) 728-0700
- Fax
- (276) 728-0755
- NPI assigned
- Oct 22, 2007
- 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 Therapy Assistant | 225200000X | 2306000885 | VA | Primary |
Addresses
Primary practice location
1113 Carrollton Pike
Heartland Rehabilitation Services of Virginia Inc
Hillsville, VA 24343
Mailing address
1113 Carrollton Pike
Heartland Rehabilitation Services of Virginia Inc
Hillsville, VA 24343
Phone (276) 728-0700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306000885 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1043409436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 CARROLLTON PIKE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "24343",
"telephone_number": "276-728-0700",
"fax_number": "276-728-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 CARROLLTON PIKE",
"address_2": "HEARTLAND REHABILITATION SERVICES OF VIRGINIA INC",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "24343",
"telephone_number": "276-728-0700",
"fax_number": "276-728-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "ROGER",
"middle_name": "L",
"credential": "LICENSED PHYSICAL TH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306000885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsville, VA
- Hillsville Health & Rehab Center, LLC
- Hillsville Rehabilitation and Healthcare Center, LLC
- Hillsville VA Clinic
- Jacquelyn Alisha Hinkley, FNP-C
- Austin Randolph Horton, PTA
- Hugh Chatham Memorial Hospital, Inc.
- Ruth Ann Hughes, LPC LMHP
- Jeanne Watson
- Matthew Hunter Johnson
- Rhonda Michelle Johnson, RN BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.