Active NPI
Alisha Michelle Horton, MS, LAT, ATC
- Athletic Trainer
- Center, TX
National Provider Identifier
1124849120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 658 Rough Rider Dr
Center, TX 75935-5141 - Phone
- (936) 598-6173
- NPI assigned
- Oct 22, 2024
- Last updated
- Oct 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | AT4921 | TX | |
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
658 Rough Rider Dr
Center, TX 75935-5141
Mailing address
550 Rough Rider Dr
Center, TX 75935-5140
Phone (251) 377-9205
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4921 | TX | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1124849120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ROUGH RIDER DR",
"city": "CENTER",
"state": "TX",
"postal_code": "759355140",
"telephone_number": "251-377-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 ROUGH RIDER DR",
"city": "CENTER",
"state": "TX",
"postal_code": "759355141",
"telephone_number": "936-598-6173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "ALISHA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "TX",
"license": "AT4921",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Center, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.