Individual provider Active NPI

Nikayla Towne-Relyea Horton, PT, DPT

  • Physical Therapist
  • Johnstown, NY
National Provider Identifier
1841667979
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040166 Issued in NY
Practice address
2755 State Highway 67
Johnstown, NY 12095-3747
Phone
(518) 736-4350
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4569 ME
Physical Therapist 225100000X 040166 NY Primary

Addresses

Primary practice location

2755 State Highway 67
Johnstown, NY 12095-3747

Mailing address

3 Mountainview Ave
Mayfield, NY 12117-4023

Other practice location 1

2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 774-5271

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
040166NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1841667979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOUNTAINVIEW AVE",
            "city": "MAYFIELD",
            "state": "NY",
            "postal_code": "121174023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 STATE HIGHWAY 67",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953747",
            "telephone_number": "518-736-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2841 Thousand Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Delanson",
            "state": "NY",
            "postal_code": "120531917",
            "country_code": "US",
            "telephone_number": "518-774-5271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "NIKAYLA",
        "middle_name": "TOWNE-RELYEA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4569",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.