| Jack Alexander Van Horn, PT, DPT | |
|
935 N Cassady Ave, Columbus, OH 43219-2283 | |
| (614) 252-4987 | |
| Not Available |
| Full Name | Jack Alexander Van Horn |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 935 N Cassady Ave, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093357626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT018326 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518069913 PECOS PAC ID: 2163339722 Enrollment ID: O20221005000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Alexander Van Horn, PT, DPT 2217 Westminster Dr, Sidney, OH 45365-1981 Ph: (937) 726-3430 | Jack Alexander Van Horn, PT, DPT 935 N Cassady Ave, Columbus, OH 43219-2283 Ph: (614) 252-4987 |
Heather Witt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 E Broad St, Columbus, OH 43213 Phone: 614-864-1089 Fax: 614-864-1138 | |
Matthew Whalen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1151 College Ave, Columbus, OH 43209 Phone: 614-338-0795 | |
Pamela Anne Showman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 E Broad St, Columbus, OH 43215 Phone: 614-224-1090 | |
Emily Henry, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4850 E Main St, Columbus, OH 43213 Phone: 614-788-4410 | |
James Robert Donner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 E Broad St, Columbus, OH 43215 Phone: 614-224-1090 | |
Mr. Daniel Patrick Nolan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 323 E Town St, Columbus, OH 43215 Phone: 614-461-8174 Fax: 614-461-9155 | |
Frank Haller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1344 W Lane Ave, Columbus, OH 43221 Phone: 614-981-1979 |