Individual provider Active NPI

Trevor Scott Horn, PT DPT

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1144866872
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297645 Issued in CA
Practice address
577 E Elder St Ste I
Fallbrook, CA 92028-3079
Phone
(760) 723-2687
Fax
(760) 723-2689
NPI assigned
Nov 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 297645 CA Primary

Addresses

Primary practice location

577 E Elder St Ste I
Fallbrook, CA 92028-3079

Mailing address

586 Los Vallecitos Blvd Apt 312
San Marcos, CA 92069-5632
Phone (760) 622-5356

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223000670 CA Practitioner - Physical Therapist in Private Practice 5395179535 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

577 E Elder St
Ste I
Fallbrook, CA 92028
Phone (760) 723-2687

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

552 S Paseo Dorotea
Ste 4
Palm Springs, CA 92264
Phone (760) 325-5945

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1144866872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 LOS VALLECITOS BLVD APT 312",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920695632",
            "telephone_number": "760-622-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST STE I",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-723-2687",
            "fax_number": "760-723-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "TREVOR",
        "middle_name": "SCOTT",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.