Individual provider Active NPI

Taylor John Horricks, PT, DPT

  • Orthopedic Physical Therapist
  • Stafford, VA
National Provider Identifier
1912419854
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305211618 Issued in VA
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

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180320003417 VA Practitioner - Physical Therapist in Private Practice 5991067456 Reassigns benefits to 1 organization

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
Stafford Physical Therapy IncGroup PAC ID 6507990157, 2 clinicians

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

LicenseStateTypeSpecialty
23052111618VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford Physical Therapy, Inc. CurrentSince Jan 9, 2018 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.

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.

Verify at the official NPI Registry.