Individual provider Active NPI

Roger L Horton, LICENSED PHYSICAL TH

  • Physical Therapy Assistant
  • Hillsville, VA
National Provider Identifier
1043409436
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306000885 Issued in VA
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

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2306000885VAMDPhysical 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

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.

Verify at the official NPI Registry.