Peter John Horricks, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003039 Issued in VA

Practice address

572 Garrisonville Rd
Stafford, VA 22554

Phone

(540) 659-6408

Fax

(540) 659-6445

NPI assigned

Mar 13, 2007

Last updated

Jul 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stafford Physical Therapy IncGroup PAC ID 6507990157, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stafford Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Stafford, VA
  • NPI 1114239498
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1902939689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "GARRISONVILLE",
            "state": "VA",
            "postal_code": "224630588",
            "telephone_number": "540-659-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-659-6408",
            "fax_number": "540-659-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRICKS",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER NO.",
            "identifier": "195330",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4279954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NO.",
            "identifier": "541712755",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Leigh Hood
• Amanda Hop
• Christina Patricia Horan
• Jill M Hord, CCC-SLP
• Rhonda Lynn Hores-Heckman
• Taylor John Horricks, PT, DPT
• Mackenzie Marie Housewright
• Marissa L Howard
• James Huang, MD
• Megan E Hubbard, DPT

• Physical Therapist in Stafford, VA
• Providers in Stafford, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.