Individual provider Active NPI

Patrick Jessen Horst

  • Physical Therapist
  • Vinton, IA
National Provider Identifier
1326550146
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087070 Issued in IA
Practice address
303 1St Ave Ste 3
Vinton, IA 52349-1741
Phone
(319) 640-9645
NPI assigned
Nov 2, 2017
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 087070 IA Primary

Addresses

Primary practice location

303 1St Ave Ste 3
Vinton, IA 52349-1741

Mailing address

303 1St Ave Ste 3
Vinton, IA 52349-1741

Other practice location 1

1220 Jacolyn Dr SW
Cedar Rapids, IA 52404-1288
Phone (319) 396-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130002532 IA Practitioner - Physical Therapist in Private Practice 4688931553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horst Physical Therapy P CGroup PAC ID 0749694669, 3 clinicians

Practice addresses (Care Compare)

303 1St Ave
Suite 3
Vinton, IA 52349-1741
Phone (319) 640-9645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horst Physical Therapy P C Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

303 1st Ave
Ste 3
Vinton, IA 52349
Phone (319) 640-9645

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1326550146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 1ST AVE STE 3",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST AVE STE 3",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491741",
            "telephone_number": "319-640-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Jacolyn Dr SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524041288",
            "country_code": "US",
            "telephone_number": "319-396-0222",
            "fax_number": "319-396-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORST",
        "first_name": "PATRICK",
        "middle_name": "JESSEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.