Organization Active NPI

Tim Hornak

  • Physical Therapy Assistant
  • San Jose, CA
National Provider Identifier
1144848128
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
TIM HORNAK
Practice address
25 N 14TH St Ste 550
San Jose, CA 95112-6206
Phone
(408) 294-3922
Fax
(408) 294-4657
NPI assigned
Jul 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Tim James Hornak, PT
Title
Physical Therapist
Phone
(408) 294-3922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X Primary

Addresses

Primary practice location

25 N 14TH St Ste 550
San Jose, CA 95112-6206

Mailing address

25 N 14TH St Ste 550
San Jose, CA 95112-6206
Phone (408) 294-3922

Other practice location 1

15215 National Ave Ste 100
Los Gatos, CA 95032-2425
Phone (408) 358-7326

National Provider Directory

National Provider Directory

Locations

15215 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-1990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1144848128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 550",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126206",
            "telephone_number": "408-294-3922",
            "fax_number": "408-294-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 14TH ST STE 550",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126206",
            "telephone_number": "408-294-3922",
            "fax_number": "408-294-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15215 National Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322425",
            "country_code": "US",
            "telephone_number": "408-358-7326",
            "fax_number": "408-358-7349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIM HORNAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "HORNAK",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-294-3922",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.