Healthcare Provider Details

I. General information

NPI: 1639885049
Provider Name (Legal Business Name): HORIZON PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 IOWA AVE STE 4
DUNLAP IA
51529-1334
US

IV. Provider business mailing address

14002 COUNTY ROAD P18
BLAIR NE
68008-4611
US

V. Phone/Fax

Practice location:
  • Phone: 402-278-1851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BENJAMIN DEUTSCHMAN
Title or Position: OWNER
Credential:
Phone: 402-278-1851