Individual provider Active NPI

Dale N Horiuchi, MPT

  • Physical Therapist
  • Rocky Ford, CO
National Provider Identifier
1902971963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7273 Issued in CO
Practice address
900 South 12TH Street
Rocky Ford, CO 81067
Phone
(719) 254-4202
Fax
(719) 254-4202
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7273 CO Primary

Addresses

Primary practice location

900 South 12TH Street
Rocky Ford, CO 81067

Mailing address

818 South 5TH
Rocky Ford, CO 81067
Phone (719) 254-6033

Other identifiers 1

IdentifierTypeStateIssuer
49835556MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001357 CO Practitioner - Physical Therapist in Private Practice 3577855311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good News Physical Therapy PLLCGroup PAC ID 7517385461, 2 clinicians

Practice addresses (Care Compare)

1220 E 3Rd St
La Junta, CO 81050-1907
Phone (719) 363-1724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good News Physical Therapy, PLLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

1220 E 3rd St
La Junta, CO 81050
Phone (719) 225-2296

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902971963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SOUTH 5TH",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "81067",
            "telephone_number": "719-254-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH 12TH STREET",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "81067",
            "telephone_number": "719-254-4202",
            "fax_number": "719-254-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIUCHI",
        "first_name": "DALE",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49835556",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Ford, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.