Active NPI
Timothy Bryant Hornak, OTR/L
- Occupational Therapist
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18895
- Practice address
- 200 Newport Center Dr Ste 213
Newport Beach, CA 92660-7503 - Phone
- (949) 644-1322
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18895 | CA | Primary |
Addresses
Primary practice location
200 Newport Center Dr Ste 213
Newport Beach, CA 92660-7503
Mailing address
22352 Shadow RDG
Mission Viejo, CA 92692-4817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
471 W Lambert Rd
Suite 106
Brea, CA 92821-3921
Phone (714) 255-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
14135 Francisquito Ave
Ste 100
Baldwin Park, CA 91706
Phone (626) 430-2300
471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800
2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489
5810 Downey Ave
Long Beach, CA 90805
Phone (562) 380-2178
200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapist
- Santa Ana, CA
- NPI 1114978830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1417434390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22352 SHADOW RDG",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926924817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEWPORT CENTER DR STE 213",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607503",
"telephone_number": "949-644-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNAK",
"first_name": "TIMOTHY",
"middle_name": "BRYANT",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.