Provider Demographics
NPI: | 1043628845 |
---|---|
Name: | HORIZON THERAPY, INC. |
Entity type: | Organization |
Organization Name: | HORIZON THERAPY, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CRYSTAL |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | NELSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 701-527-4255 |
Mailing Address - Street 1: | 345 11TH ST W |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST FARGO |
Mailing Address - State: | ND |
Mailing Address - Zip Code: | 58078-1400 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 701-532-2222 |
Mailing Address - Fax: | 701-552-7211 |
Practice Address - Street 1: | 345 11TH ST W |
Practice Address - Street 2: | |
Practice Address - City: | WEST FARGO |
Practice Address - State: | ND |
Practice Address - Zip Code: | 58078-1400 |
Practice Address - Country: | US |
Practice Address - Phone: | 701-532-2222 |
Practice Address - Fax: | 701-552-7211 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-07-25 |
Last Update Date: | 2020-06-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
225100000X, 2251C2600X, 2251G0304X, 2251N0400X, 2251X0800X | ||
ND | 1082 | 225X00000X, 225XG0600X, 225XL0004X, 225XP0019X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary | Group - Multi-Specialty |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Multi-Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
No | 225XL0004X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Low Vision | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |