Mary Elizabeth Horton, PT
Physical Therapist in Nampa, ID. Individual provider (NPI-1).
NPI number1154773604
StatusActive
Last updated in NPPESJul 8, 2016
Details
- NPI
- 1154773604
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Elizabeth Horton
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2016
- Last updated
- Jul 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT4709 | ID | Yes |
Practice location
1015 12th Ave SNampa, ID 83651-4660
Phone 208-467-4357 · Fax 208-467-4395
Mailing address
1015 12th Ave SNampa, ID 83651-4660
Phone 208-467-4357 · Fax 208-467-4395
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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