JOHN HORLOCK (NPI# 1821474438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821474438 |
Entity Type | Individual |
Full Name | JOHN HORLOCK |
Credential | DPT |
Practice Address |
1325 E Fortification St Po Drawer 16870 Jackson MS 39202-2442 |
Practice Telephone | 6013544488 |
Practice Fax Number | 6019141835 |
Mailing Telephone | 6013544488 |
Mailing Fax Number | 6019141835 |
Enumeration Date | 2015-08-05 |
Last Update Date | 2015-08-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT5728 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1325 E FORTIFICATION ST PO DRAWER 16870 |
City | JACKSON |
State | MS |
Zip Code | 39202-2442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386632560 | Chris Phillip Ethridge | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2005-10-11 |
1144832130 | Georgiana Ogletree | Occupational Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-08-20 |
1972133353 | Justin Bryant Schopp | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-24 |
1154951739 | Hailey Daniels Kelly | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-22 |
1356903520 | James Logan Ferrell | Occupational Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2019-07-08 |
1184185472 | Jamie Jackson Garrett | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2019-03-28 |
1114494754 | Charles Taylor Knapp | Nurse Practitioner | 1325 E Fortification St, Jackson, MS 39202-2442 | 2018-11-01 |
1477078277 | Leah Winstead West | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-08-14 |
1700309374 | Van Treece Woodall | Specialist/Technologist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-07-25 |
1346760220 | Megan Wallace Tyson | Nurse Practitioner | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-06-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
1386000727 | Taylor Lindsey | Physical Therapist | 1090 S Us Hwy 89, Jackson, WY 83001 | 2016-01-14 |
1639658990 | George Douglas Hayden IIi | Physical Therapist | 555 E Broadway Ave # 100, Jackson, WY 83001-8640 | 2018-08-08 |
1891025938 | Laura Simmons Pt LLC | Physical Therapist | 215 Scott Lane, Jackson, WY 83001 | 2010-01-13 |
1275703597 | Robin Lee Myers | Physical Therapist | 1711 College Ave, Jackson, AL 36545-2425 | 2008-03-03 |
1669593950 | Mark D Beissel | Physical Therapist | 728 W Franklin St, Jackson, MI 49201-2008 | 2007-04-03 |
1417033416 | Orthopaedic Therapy, Inc. | Physical Therapist | 728 W Franklin St, Jackson, MI 49201-2008 | 2006-10-31 |
1225126246 | Barbara Joan Wilcox | Physical Therapist | 728 W Franklin St, Jackson, MI 49201-2008 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245754092 | Ryan Steven Clayton | Physical Therapist | 90a Clark St, Tupelo, MS 38804-4812 | 2017-08-02 |
1467835686 | James Fehrenbacher | Physical Therapist | 702 Treeline Dr, Brandon, MS 39042-4036 | 2015-07-07 |
1790109080 | Richard Dymond Jr. | Physical Therapist | 2781 Ct Switzer Rd., Biloxi, MS 39531 | 2014-02-07 |
1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
1205914009 | Joe Gregg Jones | Physical Therapist | 1702 Highway 11 N Ste B, Picayune, MS 39466-2016 | 2006-11-01 |
1619051315 | Vincent E Cheshire | Physical Therapist | 1702 Highway 11 N, Suite B, Picayune, MS 39466-2016 | 2006-10-25 |
1811514599 | Steven Cialone | Physical Therapist | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2020-06-29 |
1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
1083023675 | Jerrica Thomas | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-08-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.