Active NPI
Dale N Horiuchi, MPT
- Physical Therapist
- Rocky Ford, CO
National Provider Identifier
1902971963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7273
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49835556 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good News Physical Therapy, PLLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- La Junta, CO
- NPI 1255959565
Physical Therapist
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.