MEDICARE: HORIZON PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1740854306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1406 WESTWOOD AVE STE 101
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44107-3716
Country	:	US
Telephone Number	:	412-805-8737
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 WESTWOOD AVE STE 101
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3716
Country	:	US
Telephone Number	:	412-805-8737
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	NINA PALOMBO
Credential	:	DPT
Telephone Number	:	412-805-8737

Provider Enumeration Date	:	05/18/2021
Last Update Date	:	10/21/2022

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