Provider Demographics
NPI:1033580451
Name:J HORN PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:J HORN PHYSICAL THERAPY PLLC
Other - Org Name:RESOLUTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:516-222-1789
Mailing Address - Street 1:585 STEWART AVE STE 590
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4785
Mailing Address - Country:US
Mailing Address - Phone:516-222-1789
Mailing Address - Fax:516-222-1868
Practice Address - Street 1:585 STEWART AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4783
Practice Address - Country:US
Practice Address - Phone:516-222-1789
Practice Address - Fax:516-222-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023178261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy