Individual provider Active NPI

Ryan Tyler Horten

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1609571157
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117216 Issued in FL
Practice address
670 Glades Rd Ste 200
Boca Raton, FL 33431-6464
Phone
(561) 495-9511
Fax
(561) 990-7426
NPI assigned
Apr 4, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117216 FL Primary

Addresses

Primary practice location

670 Glades Rd Ste 200
Boca Raton, FL 33431-6464

Mailing address

3980 Oaks Clubhouse Dr Apt 409
Pompano Beach, FL 33069-3683
Phone (954) 258-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503003640 FL Practitioner - Physician Assistant 8426413097 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Spine Associates LLC CurrentSince Sep 1, 2023 Accepting new patients
Ortho Florida, LLC CurrentSince Apr 3, 2023 Accepting new patients
Ortho Florida, LLC CurrentSince Apr 3, 2023 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

670 Glades Rd
Ste 200
Boca Raton, FL 33431
Phone (561) 391-6470

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, 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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1609571157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 OAKS CLUBHOUSE DR APT 409",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693683",
            "telephone_number": "954-258-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTEN",
        "first_name": "RYAN",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.