Jessy Lyn Vanhorn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054584 Issued in NY

Practice address

8390 Oswego Rd
Liverpool, NY 13090-1002

Phone

(315) 635-5000

Fax

(315) 622-1110

NPI assigned

Sep 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Physio One Physical Therapy PLLCGroup PAC ID 4183122278, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Cicero, NY
  • NPI 1225263536

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physio One Physical Therapy PLLC

  • Physical Therapist
  • Liverpool, NY
  • NPI 1033912878

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Onondaga Physical Therapy

  • Physical Therapist
  • Wolcott, NY
  • NPI 1689931461
  NPD
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1811094402
  NPD

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1083594980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-622-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11867 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "NY",
            "postal_code": "145901025",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-594-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "JESSY",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Surgical Group PC
• Cassandra Vacco
• Nicole Michele Valentine, MS,CCC-SLP
• Brenda R Van Fossen, MD
• John H Van Slyke, M.D.
• Mark John Vanhusen, MD
• Christopher J Vaughn, MD
• Arthur P Vercillo, M.D.,
• Jason Guy Vespi
• Christine Anne Vestigo, OTR/L

• All providers in Liverpool, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.