Individual provider Active NPI

Madeleine Horner, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1407539547
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304470 Issued in CA
Practice address
3535 General Atomics CT Ste 100
San Diego, CA 92121-1140
Phone
(858) 724-0392
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 304470 CA Primary

Addresses

Primary practice location

3535 General Atomics CT Ste 100
San Diego, CA 92121-1140

Mailing address

2234 Milton CT
San Diego, CA 92110-1115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005001616 CA Practitioner - Physical Therapist in Private Practice 1951756337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Water and Sports Physical Therapy IncGroup PAC ID 2365433232, 22 clinicians

Practice addresses (Care Compare)

2999 Mission Blvd
Suite 101
San Diego, CA 92109-8076
Phone (858) 488-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304470CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Aug 4, 2023 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

3535 General Atomics Ct
Ste 100
San Diego, CA 92121
Phone (858) 724-0392

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

Organizations & group practices 2

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407539547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 MILTON CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 GENERAL ATOMICS CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211140",
            "telephone_number": "858-724-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "MADELEINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.