Individual provider Active NPI

John R Horsley, P.T.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Mountain View, CA
National Provider Identifier
1689615106
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
PT16520 Issued in CA
Practice address
1235 Pear Ave
Suite 101
Mountain View, CA 94043-1444
Phone
(714) 638-8693
Fax
(714) 638-3940
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X PT16520 CA Primary

Addresses

Primary practice location

1235 Pear Ave
Suite 101
Mountain View, CA 94043-1444

Mailing address

PO Box 8125
Fountain Valley, CA 92728-8125
Phone (714) 638-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000217 CA Practitioner - Physical Therapist in Private Practice 7911800594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restor Physical Therapy IncGroup PAC ID 9032012612, 2 clinicians

Practice addresses (Care Compare)

441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone (714) 754-7268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16520CAMDSpecialist
PT16520CAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restor Physical Therapy Inc. CurrentSince Mar 1, 2006 Accepting new patients
Restor Physical Therapy Past Accepting new patients
Mobilpt, Inc. Past Accepting new patients

Locations

17272 Newhope St
Ste G
Fountain Vly, CA 92708
Phone (714) 638-8693

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1689615106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288125",
            "telephone_number": "714-638-8693",
            "fax_number": "714-638-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PEAR AVE",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431444",
            "telephone_number": "714-638-8693",
            "fax_number": "714-638-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "PT16520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.