JACK ALEXANDER VAN HORN (PT, DPT) – Physical Therapist, NPI 1093357626
Physical Therapist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,263 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH
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Provider Addresses for JACK ALEXANDER VAN HORN (PT, DPT)
Westminster Drive, Sidney, Shelby County, Ohio, 45365, United States
SIDNEY, OH 453651981
Phone: (937) 726-3430
Type: Mailing
935, North Cassady Avenue, East Columbus, Columbus, Franklin, Ohio, 43219, United States
COLUMBUS, OH 432192283
Phone: (614) 252-4987
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250321001082 | I | Physical Therapist In Private Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45365)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Nurse Practitioner | MI | |
| Family Practice | TX | |
| Physician Assistant | NC | |
| Internal Medicine, Pediatric Medicine | NY | |
| Family Practice | FL | |
| Occupational Therapist In Private Practice | NC | |
| Internal Medicine | NC | |
| Qualified Speech Language Pathologist | FL | |
| Sleep Medicine | NC |
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