Healthcare Provider Details

I. General information

NPI: 1720744741
Provider Name (Legal Business Name): ALEXANDRA HORST PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2021
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9150 E 109TH AVE STE 1D
CROWN POINT IN
46307-7687
US

IV. Provider business mailing address

357 AZALEA DR
HOBART IN
46342-6303
US

V. Phone/Fax

Practice location:
  • Phone: 219-988-1332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP027957T
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305213095
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: