Nicole L Horwat, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2013004047 Issued in MO

Practice address

690 S Geyer Rd
Kirkwood, MO 63122

Phone

(314) 780-9759

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole L Leuchtmann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.horwat.p2@direct.athleticoltd.nextgenshare.com

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.

• Balanced Body Rehab LLC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1750714515
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1679913321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S GEYER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225935",
            "telephone_number": "314-780-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S GEYER RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-780-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWAT",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2013004047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEUCHTMANN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Holman, MS, LPC
• Dorothy J. Holt, CRNA
• Gabriele Hoog
• Amy L Hopkins, MSW
• Joseph Horton, LCSW
• Hotel California by the Sea St. Louis, LLC
• Erin Hotz, LCSW
• Christina Lynn Howrey
• Angela Gail Igwe
• Suzanne Michelle Imig

• Physical Medicine & Rehabilitation Physician in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.