Individual provider Active NPI

Justin E Horne, DPT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1679903264
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7227 Issued in SC
Practice address
1504 Carolina PL Ste 114
Fort Mill, SC 29708-7058
Phone
(803) 349-3449
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 7227 SC Primary

Addresses

Primary practice location

1504 Carolina PL Ste 114
Fort Mill, SC 29708-7058

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (640) 575-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260217004425 GA Practitioner - Physical Therapist in Private Practice 5092295030 Reassigns benefits to 1 organization
I20260424003521 SC Practitioner - Physical Therapist in Private Practice 5092295030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2122 York Rd
Suite 300
Oak Brook, IL 60523-1981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7227SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgialina Physical Therapy Associates LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Georgialina Physical Therapy Associates LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Athletico LTD Physical Therapist PastSince Jun 8, 2025 Accepting new patients

Locations

1229 Friendship Rd
#200
Braselton, GA 30517
Phone (770) 415-9792

4039 Gateway Blvd
Ste 102
Grovetown, GA 30813
Phone (706) 210-9534

415 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 210-9380

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1504 Carolna Place Dr
Ste 114
Fort Mill, SC 29708
Phone (803) 349-3449

Interoperability endpoints

  • Direct secure messaging: justin.horne.p12@direct.athleticoltd.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1679903264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "640-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 CAROLINA PL STE 114",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087058",
            "telephone_number": "803-349-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "JUSTIN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.