Active NPI
Taylor John Horricks, PT, DPT
- Orthopedic Physical Therapist
- Stafford, VA
National Provider Identifier
1912419854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305211618
- Practice address
- 572 Garrisonville Rd
Stafford, VA 22554-3702 - Phone
- (540) 659-6408
- Fax
- (540) 659-6445
- NPI assigned
- Nov 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 23052111618 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | 2305211618 | VA | Primary |
Addresses
Primary practice location
572 Garrisonville Rd
Stafford, VA 22554-3702
Mailing address
PO Box 588
Stafford, VA 22555-0588
Phone (540) 659-6408
Other practice location 1
1206 Bragg Rd
Fredericksburg, VA 22407-4914
Phone (540) 786-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Kentucky University Medical Department, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
572 Garrisonville Rd
Stafford, VA 22554-3702
Phone (540) 659-6408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23052111618 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford Physical Therapy, Inc. | Current | Accepting new patients |
Locations
1206 Bragg Rd
Fredericksburg, VA 22407
Phone (540) 786-5535
572 Garrisonville Rd
Stafford, VA 22554
Phone (540) 659-6408
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
- Stafford, VA
- NPI 1114239498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1912419854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 588",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225550588",
"telephone_number": "540-659-6408",
"fax_number": "540-659-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 GARRISONVILLE RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225543702",
"telephone_number": "540-659-6408",
"fax_number": "540-659-6445"
}
],
"practiceLocations": [
{
"address_1": "1206 Bragg Rd",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224074914",
"country_code": "US",
"telephone_number": "540-786-5535",
"fax_number": "540-786-9225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORRICKS",
"first_name": "TAYLOR",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "23052111618",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305211618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- 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.