Individual provider Active NPI

Catherine D Hornbeck, P.T.

  • Physical Therapist
  • Pine Bluff, AR
National Provider Identifier
1093770109
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1909 Issued in AR
Practice address
2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5439
Phone
(870) 541-0003
Fax
(870) 541-0008
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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 PT 1909 AR Primary

Addresses

Primary practice location

2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5439

Mailing address

2801 S Olive St
Ste 9D
Pine Bluff, AR 71603-5495
Phone (870) 541-0003

Other identifiers 4

IdentifierTypeStateIssuer
5X115OtherARBLUE CROSS
148258721MedicaidAR
64-20055OtherARUNITED HEALTHCARE
P00035399OtherARMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000438 AR Practitioner - Physical Therapist in Private Practice 9436176013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Arkansas Physical Therapy IncGroup PAC ID 7113945650, 3 clinicians

Practice addresses (Care Compare)

2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5495
Phone (870) 541-0003

Merit-based Incentive Payment System (MIPS)

Final score
79.03 of 100Reported as group
Quality
69.16
Improvement activities
40
Cost
71.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1909ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients

Locations

2801 S Olive St
Ste 9D
Pine Bluff, AR 71603
Phone (870) 541-0003

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1093770109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S OLIVE ST",
            "address_2": "STE 9D",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035495",
            "telephone_number": "870-541-0003",
            "fax_number": "870-541-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S OLIVE ST",
            "address_2": "SUITE 9D",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035439",
            "telephone_number": "870-541-0003",
            "fax_number": "870-541-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBECK",
        "first_name": "CATHERINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5X115",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148258721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "64-20055",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00035399",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.