Individual provider Active NPI

John Horlock, DPT

  • Orthopedic Physical Therapist
  • Jackson, MS
National Provider Identifier
1821474438
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT5728 Issued in MS
Practice address
1325 E Fortification St
PO Drawer 16870
Jackson, MS 39202-2442
Phone
(601) 354-4488
Fax
(601) 914-1835
NPI assigned
Aug 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT5728 MS Primary

Addresses

Primary practice location

1325 E Fortification St
PO Drawer 16870
Jackson, MS 39202-2442

Mailing address

1325 E Fortification St
PO Drawer 16870
Jackson, MS 39202-2442
Phone (601) 354-4488

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001513 MS Practitioner - Physical Therapist in Private Practice 5092021998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Spine and Pelvic Health Physical Therapy LLCGroup PAC ID 8325436884, 14 clinicians

Practice addresses (Care Compare)

1107 Highland Colony Pkwy
Suite 109
Ridgeland, MS 39157-6079
Phone (601) 405-2958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5728MSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Spine and Pelvic Health Physical Therapy, LLC Orthopedic CurrentSince Nov 1, 2021 Accepting new patients

Locations

254 Dogwood Blvd
Unit 10
Flowood, MS 39232
Phone (601) 203-3032

1107 Highland Colony Pkwy
Ste 109
Ridgeland, MS 39157
Phone (601) 203-3032

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1821474438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "address_2": "PO DRAWER 16870",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-354-4488",
            "fax_number": "601-914-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "address_2": "PO DRAWER 16870",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-354-4488",
            "fax_number": "601-914-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORLOCK",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MS",
            "license": "PT5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.