Jewel Kristine Horton, DPT
Individual provider Active NPI Physical Therapist · Camby, IN
NPI 1497009237 · NPPES record last updated Jul 8, 2015
Key facts
- NPI
- 1497009237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05011727A (IN)
- Practice address
- 10701 Alliance Dr
Suite D
Camby, IN 46113-8836 - Phone
- (317) 821-3740
- Fax
- (317) 821-3750
- NPI assigned
- Nov 1, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11948 | CO | MD | Physical Therapist |
| 05011727A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11948 | CO | |
| Physical Therapist | 225100000X | 05011727A | IN | Yes |
Addresses
Primary practice location
10701 Alliance Dr
Suite D
Camby, IN 46113-8836
Mailing address
10701 Alliance Dr
Suite D
Camby, IN 46113-8836
Phone (317) 821-3740
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.