Individual provider Active NPI

Nathaniel Horton, DPT

  • Physical Therapist
  • Mattapan, MA
National Provider Identifier
1932875416
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL26725 Issued in MA
Practice address
10 Fairway St
Mattapan, MA 02126-2153
Phone
(617) 298-2225
NPI assigned
Aug 17, 2021
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6028 ME
Physical Therapist 225100000X PTL26725 MA Primary

Addresses

Primary practice location

10 Fairway St
Mattapan, MA 02126-2153

Mailing address

10 Fairway St
Mattapan, MA 02126-2153
Phone (617) 298-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531002355 MA Practitioner - Physical Therapist in Private Practice 0446617815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL26725MAMDPhysical Therapist
PT6028MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist PastSince Aug 1, 2021 Accepting new patients
Riverview Physical Therapy Limited Partnership Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

10 Fairway St
Mattapan, MA 02126
Phone (617) 298-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1932875416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262153",
            "telephone_number": "617-298-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRWAY ST",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262153",
            "telephone_number": "617-298-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "NATHANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6028",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL26725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.