Active NPI
Elizabeth A Yates Horton, DPT
- Physical Therapist
- Syracuse, NY
National Provider Identifier
1891950002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030509-1
- Practice address
- 103 Crawford Ave
Syracuse, NY 13224-1709 - Phone
- (716) 868-1114
- NPI assigned
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030509-1 | NY | Primary |
Addresses
Primary practice location
103 Crawford Ave
Syracuse, NY 13224-1709
Mailing address
103 Crawford Ave
Syracuse, NY 13224-1709
Phone (716) 868-1114
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23424 | Other | MD | MARYLAND BOARD OF PHYSICAL THERAPY |
| 030509-1 | Other | NY | NEW YORK STATE LICENSE NUMBER |
| 871186 | Other | DC | DC HEALTH LICENSING ADMINISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3175 E Genesee St
Suite 5
Syracuse, NY 13224-1613
Phone (716) 868-1114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030509-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engage PT OT and SLP | Physical Therapist | Current | Accepting new patients |
| Neuro Fit PT and SLP PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3175 E Genesee St
Ste 5
Syracuse, NY 13224
Phone (315) 251-2612
Organizations & group practices 2
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.
-
- Physical Therapist
- Syracuse, NY
- NPI 1841813805
-
- Physical Therapist
- Syracuse, NY
- NPI 1851921597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1891950002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CRAWFORD AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241709",
"telephone_number": "716-868-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CRAWFORD AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241709",
"telephone_number": "716-868-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES HORTON",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030509-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHYSICAL THERAPY",
"identifier": "23424",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE NUMBER",
"identifier": "030509-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC HEALTH LICENSING ADMINISTRATION",
"identifier": "871186",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.