Active NPI
Brooke Horner
- Physical Therapist
- San Diego, CA
National Provider Identifier
1780119339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016494
- Practice address
- 12400 High Bluff Dr
San Diego, CA 92130-3077 - Phone
- (866) 871-8519
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016494 | OH | Primary |
| Physical Therapist | 225100000X | 1282399 | TX | |
| Physical Therapist | 225100000X | 006951 | KY | |
| Physical Therapist | 225100000X | 26175 | MD |
Addresses
Primary practice location
12400 High Bluff Dr
San Diego, CA 92130-3077
Mailing address
2350 Griffith Dr
Cortland, OH 44410-9603
Phone (330) 261-3665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006951 | KY | MD | Physical Therapist |
| 26175 | MD | MD | Physical Therapist |
| PT016494 | OH | MD | Physical Therapist |
| 1282399 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1780119339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 GRIFFITH DR",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109603",
"telephone_number": "330-261-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 HIGH BLUFF DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303077",
"telephone_number": "866-871-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016494",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1282399",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006951",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.