Individual provider Active NPI

Byron H Horner, M.S.P.T.

  • Specialist
  • Kamas, UT
National Provider Identifier
1710061460
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4819784-2401 Issued in UT
Practice address
228 West State Road 248
Suite a
Kamas, UT 84036-9595
Phone
(435) 783-2659
Fax
(435) 783-2660
NPI assigned
Oct 25, 2006
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4819784-2401 UT Primary
Physical Therapist 225100000X 4819784-2401 UT

Addresses

Primary practice location

228 West State Road 248
Suite a
Kamas, UT 84036-9595

Mailing address

PO Box 13
Heber City, UT 84032-0013
Phone (435) 654-0804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000045 UT Practitioner - Physical Therapist in Private Practice 0446203657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

228 W State Rd
248 Suite 1C
Kamas, UT 84036-8506
Phone (435) 783-2659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4819784-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy & Sports Medicine, Inc. Specialist CurrentSince Nov 1, 2004 Accepting new patients
Heber Valley Physical Therapy Inc Specialist Past Accepting new patients
E Alan Jeppsen MD PC Past Accepting new patients

Locations

228 W State Road 248
Kamas, UT 84036
Phone (435) 783-2659

228 W State Road 248
Ste 1C
Kamas, UT 84036
Phone (435) 783-2659

228 W State Road 248
Ste A
Kamas, UT 84036
Phone (435) 783-2659

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1710061460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320013",
            "telephone_number": "435-654-0804",
            "fax_number": "435-654-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WEST STATE ROAD 248",
            "address_2": "SUITE A",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840369595",
            "telephone_number": "435-783-2659",
            "fax_number": "435-783-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "BYRON",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "4819784-2401",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "4819784-2401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamas, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.