James Matthew Horn, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Lorena, TX

NPI 1154566685 · NPPES record last updated Jul 7, 2022

Key facts

NPI
1154566685
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
006691-1 (NY)
Practice address
18 Timber Ridge TRL
Lorena, TX 76655-3035
Phone
(315) 569-7838
NPI assigned
Dec 12, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006691-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Specialties LLC Current
since Jul 15, 2020
Accepting new patients
Unkee Monkee Enterprises LLC Pediatrics Current
since Jul 31, 2022
Accepting new patients
The Network for Children'S Speech, Occupational and Physical Therapy Past Accepting new patients
Strides Pediatric Therapy Inc Pediatrics Past Accepting new patients

Locations

4900 Sanger Ave
Waco, TX 76710
Phone (254) 644-2423

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 006691-1 NY Yes

Addresses

Primary practice location

18 Timber Ridge TRL
Lorena, TX 76655-3035

Mailing address

18 Timber Ridge TRL
Lorena, TX 76655-3035
Phone (315) 569-7838

Other providers in Lorena, TX

All providers in Lorena, TX · Pediatric Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.