Individual provider Active NPI

Jeffrey Don Horrocks, PTA

  • Physical Therapy Assistant
  • Camarillo, CA
National Provider Identifier
1730461922
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT 6367 Issued in CA
Practice address
231 Camarillo Ranch Rd
Camarillo, CA 93012-5082
Phone
(805) 484-2026
Fax
(805) 389-1196
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 6367 CA Primary

Addresses

Primary practice location

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082

Mailing address

231 Camarillo Ranch Rd
Camarillo, CA 93012-5082
Phone (805) 484-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT 6367CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
George Erb Physical Therapy Inc PastSince Aug 17, 2019 Accepting new patients

Organizations & group practices 1

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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1730461922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CAMARILLO RANCH RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125082",
            "telephone_number": "805-484-2026",
            "fax_number": "805-389-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CAMARILLO RANCH RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125082",
            "telephone_number": "805-484-2026",
            "fax_number": "805-389-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORROCKS",
        "first_name": "JEFFREY",
        "middle_name": "DON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 6367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.