Organization Active NPI

Horizon Therapy LLC

  • Occupational Therapist
  • Martinez, GA
National Provider Identifier
1912351206
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005319 Issued in GA
Legal business name
HORIZON THERAPY LLC
Practice address
604 Pebble Beach CT
Martinez, GA 30907-9536
Phone
(912) 318-5466
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Mallory Denmark Halterman, OTR/L
Title
Otr/L
Phone
(912) 318-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT005319 GA Primary

Addresses

Primary practice location

604 Pebble Beach CT
Martinez, GA 30907-9536

Mailing address

604 Pebble Beach CT
Martinez, GA 30907-9536
Phone (912) 318-5466

Other identifiers 2

IdentifierTypeStateIssuer
003113656AMedicaidGA
1609159102OtherPROVIDER NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1912351206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PEBBLE BEACH CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079536",
            "telephone_number": "912-318-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 PEBBLE BEACH CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079536",
            "telephone_number": "912-318-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "DENMARK",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "912-318-5466",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113656A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1609159102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.